Victory Health Care Agency Llc, NPI 1306172747
Physical Disabilities Residential Treatment Facility in Detroit, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1306172747
NPI Entity Type Organization
Provider Name Victory Health Care Agency Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 5555 Conner Ave, Suite 3247, Detroit, MI, US
Provider Mailing Address 5555 Conner Ave, Suite 3247, Detroit, MI, US, 48213
Is Sole Proprietor? No
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Organization Official

Official Name CNA Joan Dacosta
Official Position MANGER
Phone 313-882-3303

Primary Taxonomy

Taxonomy Code

320700000X

Taxonomy Name Physical Disabilities Residential Treatment Facility
Classification

Residential Treatment Facility, Physical Disabilities

Group

Residential Treatment Facilities

License No. 35304
License State MI
Description A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Business Address

Victory Health Care Agency Llc
5555 Conner Ave
Suite 3247

Detroit, MI, US

Phone: 313-882-3303
Fax: 313-571-3304

Mailing Address

Victory Health Care Agency Llc
5555 Conner Ave
Suite 3247
Detroit, MI, US
ZIP 48213
Phone: 313-882-3303
Fax: 313-571-3304

Secondary Taxonomies

Other Providers in MI, US

NPI Name Taxonomy Address

1659096923

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DDS, MS Suhaib Alqawasmeh

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DR. DO, MPH Jimmy Wayne Brandon

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General Motors Health Services / Flint Assembly

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1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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