# OPEN SKYES FAMILY CARE HOME, LLC

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

## Provider details

- **NPI number:** 1518568294
- **Authorized official:** ARYSSIA PHILLIP (OWNER)
- **Authorized official phone:** (954) 864-0802

## Contact information

- **Practice address:** 5600 SW 36TH ST, WEST PARK, FL 33023-6106
- **Practice address phone:** (954) 329-9796
- **Mailing address:** 8570 STIRLING RD STE 102, HOLLYWOOD, FL 33024-8204
- **Mailing address phone:** (954) 329-9796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 11/08/2020
- **Last updated:** 11/08/2020