VICTORY MANOR LLC. NPI 1003314428

NPI Information

NPI: 1003314428
Provider Name: VICTORY MANOR LLC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1041 S YUCCA PL
CHANDLER, AZ
ZIP 85286
Phone: (480) 277-3995
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VICTORY MANOR LLC. is a community based residential treatment facility mental illness in Chandler, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. VICTORY MANOR LLC. NPI is 1003314428. The provider is registered as an organization entity type.

The provider's business location address is:

1041 S YUCCA PL
CHANDLER, AZ
ZIP 85286-982
Phone: (480) 277-3995
Fax: (480) 257-3447

The provider's authorized official is Juster Muthoni Njuguna .
The authorized official title is Administrator and has the following contact phone number (480) 277-3995.

The enumeration date for this NPI number is 1/31/2018 and was last updated on 1/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH5323	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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