Provider Demographics
NPI:1043019912
Name:SKYLINE CAMP AND CONFERENCE CENTER
Entity type:Organization
Organization Name:SKYLINE CAMP AND CONFERENCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-798-8240
Mailing Address - Street 1:5650 SANDHILL RD
Mailing Address - Street 2:
Mailing Address - City:ALMONT
Mailing Address - State:MI
Mailing Address - Zip Code:48003-9744
Mailing Address - Country:US
Mailing Address - Phone:248-830-5654
Mailing Address - Fax:
Practice Address - Street 1:5650 SANDHILL RD
Practice Address - Street 2:
Practice Address - City:ALMONT
Practice Address - State:MI
Practice Address - Zip Code:48003-9744
Practice Address - Country:US
Practice Address - Phone:248-830-5654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2050XRespite Care FacilityRespite CareRespite Care Camp