Organization
SKYLARK HOME CARE, LLC
Active
Parent organization
SKYLARK SENIOR CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKYLARK SENIOR CARE, LLC
Authorized official
MR. EDWIN HOWARD MORGENS (CEO)
(404) 550-7087
Entity
Organization
Contact information
Practice address
4265 JOHNS CREEK PKWY STE B, SUWANEE, GA 30024-6038
(678) 646-0600
(678) 646-0602
Mailing address
4265 JOHNS CREEK PKWY STE B, SUWANEE, GA 30024-6038
(678) 646-0600
(678) 646-0602
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
058-R-0659
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003130859A
—
GA
05
—
003130859B
—
GA
05
—
003151574A
—
GA
Enumeration date
03/24/2016
Last updated
03/24/2016
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