Organization
ROCKIE SKYE SADC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALICA SUTHERLAND (CEO)
(646) 593-2685
Entity
Organization
Contact information
Practice address
1885 E MAIN ST, MOHEGAN LAKE, NY 10547-1249
(646) 593-2685
Mailing address
PO BOX 844, HARRISON, NY 10528-0844
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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