# SKYLINE SENIOR SERVICES, LLC

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

## Provider details

- **NPI number:** 1184163123
- **Authorized official:** CHARLES KHOURY (ADMINISTRATOR)
- **Authorized official phone:** (713) 392-6993

## Contact information

- **Practice address:** 13287 HIDDEN TRAIL CT, WILLIS, TX 77318-4282
- **Practice address phone:** (713) 392-6993
- **Mailing address:** 702 RUSK STREET, HOUSTON, TX 77002
- **Mailing address phone:** (713) 392-6993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 32062749794 | TX | Yes |

## Other

- **Enumeration date:** 02/22/2017
- **Last updated:** 02/22/2017