Provider Demographics
NPI:1689121584
Name:THE SKY FAMILY YMCA INC.
Entity Type:Organization
Organization Name:THE SKY FAMILY YMCA INC.
Other - Org Name:THE SKY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PETE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHATTUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-492-9622
Mailing Address - Street 1:701 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-4808
Mailing Address - Country:US
Mailing Address - Phone:941-492-9622
Mailing Address - Fax:941-496-8028
Practice Address - Street 1:701 CENTER RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285
Practice Address - Country:US
Practice Address - Phone:941-492-9622
Practice Address - Fax:941-496-8028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty