Healthcare Provider Details

I. General information

NPI: 1497579452
Provider Name (Legal Business Name): SKYES INTERNATIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N GOULD ST STE R
SHERIDAN WY
82801-6317
US

IV. Provider business mailing address

30 N GOULD ST STE R
SHERIDAN WY
82801-6317
US

V. Phone/Fax

Practice location:
  • Phone: 307-777-7311
  • Fax:
Mailing address:
  • Phone: 571-977-6138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code132700000X
TaxonomyDietary Manager
License Number
License Number State

VIII. Authorized Official

Name: KHIZAR REHMAN
Title or Position: CEO
Credential:
Phone: 571-977-6138