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General NPI Number Information
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NPI Number | 1154138949
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Entity Type | Organization
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Legal Business Name | SKYLIGHT HOME CARE LLC
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1418 FAIRWAY CIR
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City | GREENACRES
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State | FL
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Zip | 33413-3329
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Country | US
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Telephone | 561-502-6862
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Fax | 833-415-1199
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Provider Business Mailing Address
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Address Line | 1418 FAIRWAY CIR
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City | GREENACRES
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State | FL
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Zip | 33413-3329
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Country | US
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Telephone | 561-502-6862
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Fax | 833-415-1199
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DORIANA YVETTE DENIS
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Credential |
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Telephone | 561-502-6862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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