ATRIUM VICTORIA HOME INC NPI 1073264693

NPI Information

  • NPI: 1073264693
  • Provider Name: ATRIUM VICTORIA HOME, INC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 9704 INAUGURAL WAY
    MONTGOMERY VILLAGE, MD
    ZIP 20886
  • Phone: (301) 963-8434

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NPI Details

ATRIUM VICTORIA HOME, INC is an assisted living and mental illness assisted living facility in Montgomery Village, MD. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. ATRIUM VICTORIA HOME, INC NPI is 1073264693. The provider is registered as an organization entity type.

The provider's business location address is:

9704 INAUGURAL WAY
MONTGOMERY VILLAGE, MD
ZIP 20886-157
Phone: (301) 963-8434
Fax: (301) 963-8410

The provider's authorized official is Raju Datla .
The authorized official title is Director and has the following contact phone number (240) 305-3484.

The enumeration date for this NPI number is 1/14/2022 and was last updated on 1/14/2022.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

What is NPI?

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This page was last updated on: 11/21/2025

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