# SKY HOUSE SUPPORTIVE LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003764531
- **Authorized official:** KRISTIN SKY LCSW (CEO)
- **Authorized official phone:** (191) 640-7972

## Contact information

- **Practice address:** 2240 CALAVERAS AVE, DAVIS, CA 95616-3024
- **Practice address phone:** (916) 407-9722
- **Mailing address:** 2240 CALAVERAS AVE, DAVIS, CA 95616-3024
- **Mailing address phone:** (916) 407-9722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2026
- **Last updated:** 03/19/2026