# ANGEL SKIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fabulosity LLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063071207
- **Authorized official:** KIMBERLY DAWN MORRIS (OWNER)
- **Authorized official phone:** (575) 741-8816

## Contact information

- **Practice address:** 1748 LITTLE TEXAS RD, TRAVELERS REST, SC 29690-9525
- **Practice address phone:** (575) 741-8816
- **Mailing address:** 1748 LITTLE TEXAS RD, TRAVELERS REST, SC 29690-9525
- **Mailing address phone:** (575) 741-8816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 1710I1002X | Independent Duty Corpsman | — | NULL | — |
| 1710I1002X | Independent Duty Corpsman | — | — | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1100X | Research Clinic/Center | — | NULL | — |
| 335U00000X | Organ Procurement Organization | — | NULL | — |
| 3418M1120X | Military or U.S. Coast Guard Air Transport Ambulance | — | NULL | — |
| 344800000X | Air Carrier | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 06/11/2019
- **Last updated:** 07/20/2020