# SKY LIFE EMS INC

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

## Provider details

- **NPI number:** 1689050502
- **Authorized official:** ISSIAH MGENDI (OWNER)
- **Authorized official phone:** (678) 210-2694

## Contact information

- **Practice address:** 2385 WALL ST SE, SUITE 208 B, CONYERS, GA 30013-2187
- **Practice address phone:** (678) 210-2694
- **Practice address fax:** (678) 964-2338
- **Mailing address:** 2385 WALL ST SE, SUITE 208 B, CONYERS, GA 30013-2187
- **Mailing address phone:** (678) 210-2694
- **Mailing address fax:** (678) 964-2338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2015
- **Last updated:** 02/29/2016