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General NPI Number Information
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NPI Number | 1366097834
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Entity Type | Organization
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Legal Business Name | BLUE SKY ADULT CARE, INC.
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 1351 S STATE ROAD 7
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-4023
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Country | US
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Telephone | 954-736-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 16452 SW 28TH CT
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City | MIRAMAR
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State | FL
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Zip | 33027-5215
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Country | US
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Telephone | 754-423-4691
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KIMBERLY RAMLOCHAN
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Credential | RN
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Telephone | 754-423-4691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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