Organization
SKYLIGHT SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE IGBINOBA (DIRECTOR)
(908) 967-3051
Entity
Organization
Contact information
Practice address
24 TEMPLE PL, IRVINGTON, NJ 07111-2911
(908) 967-3051
(973) 314-4064
Mailing address
24 TEMPLE PL, IRVINGTON, NJ 07111-2911
(908) 967-3051
(973) 314-4064
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450347228
—
NJ
Enumeration date
06/09/2019
Last updated
06/09/2019
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