Healthcare Provider Details

I. General information

NPI: 1134184385
Provider Name (Legal Business Name): SKYVIEW LIVING CENTERS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1519 SCRIPTURE ST
DENTON TX
76201-3915
US

IV. Provider business mailing address

845 PROTON RD
SAN ANTONIO TX
78258-4203
US

V. Phone/Fax

Practice location:
  • Phone: 940-320-8618
  • Fax:
Mailing address:
  • Phone: 210-340-7155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310500000X
TaxonomyMental Illness Intermediate Care Facility
License Number003808
License Number StateTX

VIII. Authorized Official

Name: MIKE HAWKER
Title or Position: CFO
Credential:
Phone: 210-340-7155