VICTORY RESIDENTIAL HOME LLC NPI 1316470081

NPI Information

VICTORY RESIDENTIAL HOME, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Chesapeake, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. VICTORY RESIDENTIAL HOME, LLC NPI is 1316470081. The provider is registered as an organization entity type.

The provider's business location address is:

440 PLUMMER DR
CHESAPEAKE, VA
ZIP 23323-116
Phone: (757) 673-4438
Fax: (757) 673-4438

The provider's authorized official is Sonja Denise Carraway .
The authorized official title is Ceo and has the following contact phone number (757) 567-3292.

The enumeration date for this NPI number is 4/9/2017 and was last updated on 4/9/2017.

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:

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