Organization
BLUE SKIES HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LEFELDREN BANKS III (DIRECTOR)
(336) 337-5102
Entity
Organization
Contact information
Practice address
4107 ELLISTON ST, GREENSBORO, NC 27407-6405
(336) 294-1789
Mailing address
P.O. BOX 7204, GREENSBORO, NC 27417
(336) 292-6611
(336) 852-0064
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409390
—
NC
Enumeration date
04/26/2007
Last updated
11/19/2007
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