# VIVID SKY HOME CARE SERVICES

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

## Provider details

- **NPI number:** 1841912037
- **Authorized official:** MRS. PATRICIA M GIBSON (OWNER)
- **Authorized official phone:** (678) 541-7538

## Contact information

- **Practice address:** 59 TIFFANY TRCE, PALMETTO, GA 30268-8544
- **Practice address phone:** (678) 541-7538
- **Practice address fax:** (678) 692-6562
- **Mailing address:** 90F GLENDA TRCE \# 190, NEWNAN, GA 30265-3858
- **Mailing address phone:** (678) 541-7538
- **Mailing address fax:** (678) 692-6562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2022
- **Last updated:** 09/14/2022