SKYLINE TERRACE CONVALESCENT HOME
Intermediate Care Facility, Mental Illness
Woodstock, Virginia
Provider NPI: 1467475830
Organization Information:Organization Name: SKYLINE TERRACE CONVALESCENT HOME
Practice Location:
123 LAKEVIEW ROAD WOODSTOCK, VA 22664 US
Tel: 540-459-3738 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
123 LAKEVIEW ROAD WOODSTOCK, VA 22664 US
Tel: 540-459-3738 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
004965892 | VA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin