Provider Demographics
NPI:1205977741
Name:SKYLINE HEALTH SERVICES & SUPPLIES LLC
Entity type:Organization
Organization Name:SKYLINE HEALTH SERVICES & SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAMBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-552-6124
Mailing Address - Street 1:16000 W NINE MILE RD
Mailing Address - Street 2:STE 420
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4839
Mailing Address - Country:US
Mailing Address - Phone:248-552-6124
Mailing Address - Fax:
Practice Address - Street 1:16000 W NINE MILE RD
Practice Address - Street 2:STE 420
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4839
Practice Address - Country:US
Practice Address - Phone:248-552-6124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies