Provider Demographics
NPI:1275683708
Name:SKILLS
Entity Type:Organization
Organization Name:SKILLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, QMRP
Authorized Official - Phone:218-477-1919
Mailing Address - Street 1:810 4TH AVE S
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-2800
Mailing Address - Country:US
Mailing Address - Phone:218-477-1919
Mailing Address - Fax:
Practice Address - Street 1:810 4TH AVE S
Practice Address - Street 2:SUITE 100
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-2800
Practice Address - Country:US
Practice Address - Phone:218-477-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1062246OtherMN EIN