| Skyywell Health Inc | |
|
1033 Hazelmist Dr Wake Forest NC 27587-9254 | |
| (984) 292-4515 | |
| Not Available |
| Full Name | Skyywell Health Inc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 1033 Hazelmist Dr, Wake Forest, North Carolina |
| Authorized Official Name and Position | Lisa Braswell (DIRECTOR) |
| Authorized Official Contact | 2524848260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyywell Health Inc 6330 Falls Of Neuse Rd Ste 106b Raleigh NC 27615-6810 Ph: (984) 292-4515 | Skyywell Health Inc 1033 Hazelmist Dr Wake Forest NC 27587-9254 Ph: (984) 292-4515 |
| NPI Number | 1790498152 |
|---|---|
| Provider Enumeration Date | 12/30/2022 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790498152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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