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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility

Other Provider Identifiers:

IssuerNumberStateType
004965892VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS VA - Page 1