Provider Demographics
NPI:1255006920
Name:SKILS'KIN
Entity Type:Organization
Organization Name:SKILS'KIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF STRATEGY AND INNOVATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-703-9513
Mailing Address - Street 1:4004 E BOONE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4509
Mailing Address - Country:US
Mailing Address - Phone:509-703-9513
Mailing Address - Fax:
Practice Address - Street 1:4004 E BOONE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-4509
Practice Address - Country:US
Practice Address - Phone:093-266-7605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management