Organization Name: | SKYLINE CARE, LLC |
NPI Number: | 1124338967 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARRY L. WRUBLE (CHIEF OPERATING OFFICER) |
Mailing Address: | 120 Park End Pl East Orange |
State: | NJ US |
Postal Code: | 070181116 |
Phone Number: | 9739650366 |
Fax Number: | 9739650367 |
NPI Enumeration Date: | 10/14/2010 |
NPI Last Update Date: | 10/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HP0136600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |