Provider Demographics
NPI:1184034076
Name:SKY REHABILITATION SERVICES INC
Entity Type:Organization
Organization Name:SKY REHABILITATION SERVICES INC
Other - Org Name:SKY REHABILITATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH LANGUAGE PATHALOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:GALLEGOS
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:713-955-6087
Mailing Address - Street 1:439 CLIFFORD ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-1925
Mailing Address - Country:US
Mailing Address - Phone:361-876-3264
Mailing Address - Fax:713-929-3621
Practice Address - Street 1:439 CLIFFORD ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-1925
Practice Address - Country:US
Practice Address - Phone:361-876-3264
Practice Address - Fax:713-929-3621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech