Organization
ANGEL SKIES LLC
Active
Organization
ANGEL SKIES LLC
Active
Other names
Fabulosity LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAWN MORRIS (OWNER)
(575) 741-8816
Entity
Organization
Contact information
Practice address
1748 LITTLE TEXAS RD, TRAVELERS REST, SC 29690-9525
(575) 741-8816
Mailing address
1748 LITTLE TEXAS RD, TRAVELERS REST, SC 29690-9525
(575) 741-8816
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
1710I1002X
Independent Duty Corpsman
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
335U00000X
Organ Procurement Organization
—
—
3418M1120X
Military or U.S. Coast Guard Air Transport Ambulance
—
—
344800000X
Air Carrier
—
—
372600000X
Adult Companion
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/11/2019
Last updated
07/20/2020
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