# SKYLARK HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SKYLARK SENIOR CARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376905778
- **Legal business name:** SKYLARK SENIOR CARE, LLC
- **Authorized official:** MR. EDWIN HOWARD MORGENS (CEO)
- **Authorized official phone:** (404) 550-7087

## Contact information

- **Practice address:** 4265 JOHNS CREEK PKWY STE B, SUWANEE, GA 30024-6038
- **Practice address phone:** (678) 646-0600
- **Practice address fax:** (678) 646-0602
- **Mailing address:** 4265 JOHNS CREEK PKWY STE B, SUWANEE, GA 30024-6038
- **Mailing address phone:** (678) 646-0600
- **Mailing address fax:** (678) 646-0602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 058-R-0659 | GA | Yes |

## Other

- **Enumeration date:** 03/24/2016
- **Last updated:** 03/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003130859A | — | GA |
| 05 | — | 003130859B | — | GA |
| 05 | — | 003151574A | — | GA |