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Skyline Under 21 Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chesapeake, Virginia
NPI 1184476160

Skyline Under 21 Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Smithfield, VA. Skyline Under 21 Llc practices in Chesapeake, VA. The NPI Number for Skyline Under 21 Llc is 1184476160 and holds a License No. (Virginia).

The current practice location address for Skyline Under 21 Llc is 3104 Camelot Blvd, Chesapeake, VA and can be reached out via phone at 757-348-5510 and via fax at 757-522-1954.

Location: 3104 Camelot Blvd, Chesapeake, VA, 23430-6382
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184476160
Provider Name
Skyline Under 21 Llc
Credential
Provider Entity Type
Organization
Address
3104 Camelot Blvd, Chesapeake, VA, 23430-6382
Phone Number
757-348-5510
Fax Number
757-522-1954
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3104 Camelot Blvd
City
Chesapeake
State
Virginia
Zip
23323-2501
Phone Number
757-348-5510
Fax Number
757-522-1954
person
Provider Business Mailing Address Details
Address
3104 Camelot Blvd
City
Chesapeake
State
Virginia
Zip
23323-2501
Phone Number
757-348-5510
Fax Number
757-522-1954
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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