Organization · Type 2 NPI

Skyline Under 21 LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Chesapeake, VA

NPI number 1184476160 Active

Practice location

3104 Camelot Blvd
Chesapeake, VA 23323-2501

Call (757) 348-5510 Map

Fax (757) 522-1954

Mailing address

106 Asbury Way
Smithfield, VA 23430-6382

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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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About NPI 1184476160

Skyline Under 21 LLC's National Provider Identifier is 1184476160, issued on Apr 3, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Chesapeake, VA. The record was last updated on Apr 3, 2024.