Organization
SKY THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MODESTO EDILBERTO FALLS (PRESIDENT)
(973) 338-2516
Entity
Organization
Contact information
Practice address
1139 E JERSEY ST STE 426, ELIZABETH, NJ 07201-2451
(973) 338-2516
Mailing address
1139 E JERSEY ST STE 426, ELIZABETH, NJ 07201-2451
(973) 338-2516
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
NJ
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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