Provider Demographics
NPI:1073205456
Name:SKELOG HEALTH LLC
Entity Type:Organization
Organization Name:SKELOG HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:NWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-312-8036
Mailing Address - Street 1:4327 TRIZZA CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3055
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4327 TRIZZA CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3055
Practice Address - Country:US
Practice Address - Phone:940-312-8036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care