Organization
VIVID SKY HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA M GIBSON (OWNER)
(678) 541-7538
Entity
Organization
Contact information
Practice address
59 TIFFANY TRCE, PALMETTO, GA 30268-8544
(678) 541-7538
(678) 692-6562
Mailing address
90F GLENDA TRCE # 190, NEWNAN, GA 30265-3858
(678) 541-7538
(678) 692-6562
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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