Organization · Type 2 NPI
Skyland Manor PCH
Assisted Living Facility · Loganville, GA
NPI number
1992958474
Active
Practice location
3505 Skyland Dr
Loganville, GA 30052-8962
Fax (770) 985-3425
Mailing address
22546 Murdock Ave
Queens Village, NY 11429-2729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 061-01-329-1 (GA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
Other assisted living facility providers in Loganville
About NPI 1992958474
Skyland Manor PCH's National Provider Identifier is 1992958474, issued on Oct 29, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Loganville, GA. The record was last updated on Oct 29, 2008.