Provider Demographics
NPI:1992231351
Name:DESERT SKY HEALTHCARE, INC.
Entity type:Organization
Organization Name:DESERT SKY HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-428-0143
Mailing Address - Street 1:6644 E TANQUE VERDE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3875
Mailing Address - Country:US
Mailing Address - Phone:520-428-0143
Mailing Address - Fax:520-428-0144
Practice Address - Street 1:6644 E TANQUE VERDE RD STE 201
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3875
Practice Address - Country:US
Practice Address - Phone:520-428-0143
Practice Address - Fax:520-428-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care