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Organization
SKY LIMITS 75 INC
Active
Organization
SKY LIMITS 75 INC
Active
Other names
ATCB Health services
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWON MONTAE TRICE SPECIALIST (PRESIDENT)
(843) 655-5860
Entity
Organization
Contact information
Practice address
950 N COCOA BLVD STE 102, COCOA, FL 32922-7582
(184) 365-5586
(321) 632-0673
Mailing address
950 N COCOA BLVD STE 102, COCOA, FL 32922-7582
(184) 365-5586
(321) 632-0673
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211419
FL
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
30211419
FL
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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