Organization
SKY CASA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWAFEMI THOMPSON (PRESIDENT)
(424) 254-3438
Entity
Organization
Contact information
Practice address
1112 OCEAN DR STE 102B, MANHATTAN BEACH, CA 90266-5402
(424) 254-3438
(424) 254-2285
Mailing address
1112 OCEAN DR STE 102B, MANHATTAN BEACH, CA 90266-5402
(424) 254-3438
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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