VICTORY PALACE NPI 1104126754

NPI Information

VICTORY PALACE is an adult care home custodial care facility in Grand Rapids, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. VICTORY PALACE NPI is 1104126754. The provider is registered as an organization entity type.

The provider's business location address is:

908 COLLEGE AVE NE
GRAND RAPIDS, MI
ZIP 49503-751
Phone: (616) 214-8155
Fax: (616) 214-8155

The provider's authorized official is Ime Etuk .
The authorized official title is Managing Director and has the following contact phone number (616) 881-3843.

The enumeration date for this NPI number is 10/29/2010 and was last updated on 10/29/2010.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.