Provider Demographics
NPI:1730792656
Name:SKY-T HEALTH SERVICES
Entity type:Organization
Organization Name:SKY-T HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLUWATUMININU
Authorized Official - Middle Name:A
Authorized Official - Last Name:AJAGUNNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-559-2843
Mailing Address - Street 1:7 BARLETTA CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4509
Mailing Address - Country:US
Mailing Address - Phone:443-559-2843
Mailing Address - Fax:
Practice Address - Street 1:7 BARLETTA CT
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4509
Practice Address - Country:US
Practice Address - Phone:443-559-2843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-29
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health