| Skycare Services Llc | |
|
1447 Ebenezer Rd Rock Hill SC 29732-2338 | |
| (803) 587-8036 | |
| Not Available |
| Full Name | Skycare Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1447 Ebenezer Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Quiana Meshell Dixon (OWNER) |
| Authorized Official Contact | 2018522309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skycare Services Llc 3144 Streamhaven Dr Fort Mill SC 29707-7688 Ph: (201) 852-2309 | Skycare Services Llc 1447 Ebenezer Rd Rock Hill SC 29732-2338 Ph: (803) 587-8036 |
| NPI Number | 1548649429 |
|---|---|
| Provider Enumeration Date | 05/25/2015 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Medicare PECOS PAC ID | 0648695932 |
|---|---|
| Medicare Enrollment ID | O20200804000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548649429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sharon Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245305739 PECOS PAC ID: 4789970260 Enrollment ID: I20160909000312 |
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