Skylight Spark LLC
Durable Medical Equipment & Medical Supplies in Cedar Park, TX. Organization (NPI-2).
NPI number1174366751
StatusActive
Last updated in NPPESJun 13, 2024
Details
- NPI
- 1174366751
- Entity type
- Organization (NPI-2)
- Legal business name
- Skylight Spark LLC
- Organization subpart
- No
- Enumeration date
- Jun 13, 2024
- Certification date
- Jun 13, 2024
- Last updated
- Jun 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
1400 Little Elm Trl Unit 1204Cedar Park, TX 78613-2863
Phone 737-510-7234
Mailing address
1400 Little Elm Trl Unit 1204Cedar Park, TX 78613-2863
Phone 737-510-7234
Authorized official
Ashraf Rajwani
Owner
7375107234
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