# NINE SKY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hangbok adult Day Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962813162
- **Authorized official:** MR. DAEJIN KO (MANAGING MEMBER)
- **Authorized official phone:** (770) 447-4898

## Contact information

- **Practice address:** 6000 LIVE OAK PKWY, NORCROSS, GA 30093-1732
- **Practice address phone:** (770) 447-4898
- **Mailing address:** 6000 LIVE OAK PKWY, NORCROSS, GA 30093-1732
- **Mailing address phone:** (770) 447-4898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 068505679A | GA | Yes |

## Other

- **Enumeration date:** 05/12/2014
- **Last updated:** 05/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 068505679A | — | GA |