NPI 1184476160
Skyline Under 21 LLC
Practice location
- Address
- 3104 Camelot Blvd, Chesapeake, VA 23323-2501
- Phone
- (757) 348-5510
- Fax
- (757) 522-1954
- Mailing address
- 106 Asbury Way, Smithfield, VA 23430-6382
Authorised official
- Name
- Christian Nicole Leon
- Title
- Executive Director
- Phone
- (757) 348-5510
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1184476160
- Entity type
- Organization
- NPI issued
- 3 Apr 2024
- Record last updated
- 3 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.