Victory Health Care Agency Llc, NPI 1306172747
Physical Disabilities Residential Treatment Facility in Detroit, MI, US
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 |
Organization Official
| Official Name | CNA Joan Dacosta |
| Official Position | MANGER |
| Phone | 313-882-3303 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Physical Disabilities Residential Treatment Facility |
| Classification | |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 35304 | MI | No | |||
Community Based Residential Treatment Facility, Mental Illness |
35304 | MI | No |
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