Provider Demographics
NPI:1972600963
Name:SKY ANGEL NURSES INC
Entity type:Organization
Organization Name:SKY ANGEL NURSES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BABATUNDE
Authorized Official - Middle Name:B
Authorized Official - Last Name:KUKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-365-0203
Mailing Address - Street 1:3060 PHARR COURT NORTH NW
Mailing Address - Street 2:SUITE 12
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2052
Mailing Address - Country:US
Mailing Address - Phone:404-365-0203
Mailing Address - Fax:
Practice Address - Street 1:3060 PHARR COURT NORTH NW
Practice Address - Street 2:SUITE 12
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2052
Practice Address - Country:US
Practice Address - Phone:404-365-0203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060-R-0082251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health