Provider Demographics
NPI:1437717071
Name:SKYLERS COMPASSIONATE CARE
Entity Type:Organization
Organization Name:SKYLERS COMPASSIONATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAKISHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LIGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-492-1879
Mailing Address - Street 1:PO BOX 3877
Mailing Address - Street 2:
Mailing Address - City:MELVINDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48122-0877
Mailing Address - Country:US
Mailing Address - Phone:313-492-1879
Mailing Address - Fax:313-397-2351
Practice Address - Street 1:9267 ARTESIAN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-1703
Practice Address - Country:US
Practice Address - Phone:313-492-1879
Practice Address - Fax:313-397-2351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health