| Blue Skies Health Care, Inc. | |
|
4107 Elliston St Greensboro NC 27407-6405 | |
| (336) 294-1789 | |
| Not Available |
| Full Name | Blue Skies Health Care, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4107 Elliston St, Greensboro, North Carolina |
| Authorized Official Name and Position | Joseph Lefeldren Banks (DIRECTOR) |
| Authorized Official Contact | 3363375102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Skies Health Care, Inc. P.o. Box 7204 Greensboro NC 27417 Ph: (336) 292-6611 | Blue Skies Health Care, Inc. 4107 Elliston St Greensboro NC 27407-6405 Ph: (336) 294-1789 |
| NPI Number | 1952521304 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 11/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952521304 | NPI | - | NPPES |
| 3409390 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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