# SKY LIMITS 1, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEAVENLY HOME PCS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023342920
- **Authorized official:** MR. ANTWON MONTAE TRICE (PRESIDENT)
- **Authorized official phone:** (843) 655-5860

## Contact information

- **Practice address:** 950 N COCOA BLVD, UNIT 102, COCOA, FL 32922-7582
- **Practice address phone:** (321) 632-0675
- **Practice address fax:** (321) 632-0673
- **Mailing address:** PO BOX 372029, SATELLITE BEACH, FL 32937-0029
- **Mailing address phone:** (321) 632-0675
- **Mailing address fax:** (321) 632-0673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251F00000X | Home Infusion Agency | 30211419 | FL | — |
| 251J00000X | Nursing Care Agency | 30211419 | FL | — |
| 253Z00000X | In Home Supportive Care Agency | 30211419 | FL | Yes |

## Other

- **Enumeration date:** 09/24/2009
- **Last updated:** 09/24/2009