Organization
SKYLIGHT HEALTH GROUP CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GLUCHACKI (SVP COMPLIANCE)
(508) 689-9706
Entity
Organization
Contact information
Practice address
3100 N ACADEMY BLVD STE 211, COLORADO SPRINGS, CO 80917-5332
(719) 301-7162
Mailing address
82 HARTWELL ST UNIT 2, FALL RIVER, MA 02721-3025
(150) 868-9970
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
04/15/2022
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