# SKYLINE TERRACE CONVALESCENT HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skyline Terrace Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467475830
- **Authorized official:** MS. DEANNE CRAFT LNHA (ADMINISTRATOR)
- **Authorized official phone:** (540) 459-3738

## Contact information

- **Practice address:** 123 LAKEVIEW ROAD, WOODSTOCK, VA 22664-0558
- **Practice address phone:** (540) 459-3738
- **Practice address fax:** (540) 459-8651
- **Mailing address:** PO BOX 558, 123 LAKEVIEW ROAD, WOODSTOCK, VA 22664-0558
- **Mailing address phone:** (540) 459-3738
- **Mailing address fax:** (540) 459-8651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 02/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004965892 | — | VA |