Healthcare Provider Details

I. General information

NPI: 1689859423
Provider Name (Legal Business Name): SKYLIMIT HEALTH,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 FALKIRK CT
NEWARK DE
19702-2060
US

IV. Provider business mailing address

2 FALKIRK CT
NEWARK DE
19702-2060
US

V. Phone/Fax

Practice location:
  • Phone: 302-266-6574
  • Fax:
Mailing address:
  • Phone: 302-266-6574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number2021
License Number StateDE

VIII. Authorized Official

Name: DIANA MAGOYE NAKIRIGYA
Title or Position: DIRECTOR
Credential: D.O
Phone: 302-266-6574