Organization
SKYE IS THE LIMIT RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTYWONE WILSON (OWNER)
(443) 591-1166
Entity
Organization
Contact information
Practice address
9916 REYMET CT, NORTH CHESTERFIELD, VA 23237-2375
(804) 271-0825
Mailing address
9916 REYMET CT, NORTH CHESTERFIELD, VA 23237-2375
(804) 271-0825
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1781
VA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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