Organization Name: | BLUE SKY MANAGEMENT, LLC |
NPI Number: | 1518090620 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH GRACE STICKLEY (MANAGING MEMBER) |
Mailing Address: | 15 Wallingford Drive Platte City |
State: | MO US |
Postal Code: | 64079 |
Phone Number: | 8168582804 |
Fax Number: | 8168584224 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 08/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 13182C |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |