Provider Demographics
NPI:1851940472
Name:MORROW, SKYLAH RONICE (LPN)
Entity Type:Individual
Prefix:
First Name:SKYLAH
Middle Name:RONICE
Last Name:MORROW
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10199 NE 9TH ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:FL
Mailing Address - Zip Code:34484-3219
Mailing Address - Country:US
Mailing Address - Phone:352-461-9795
Mailing Address - Fax:
Practice Address - Street 1:10199 NE 9TH ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:FL
Practice Address - Zip Code:34484-3219
Practice Address - Country:US
Practice Address - Phone:352-461-9795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-06
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services