A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Assisted Living Facility | 310400000X |
| Assisted Living, Behavioral Disturbances | 3104A0630X | |
| Assisted Living, Mental Illness | 3104A0625X |
* Indicates primary specialty
| NPI Number | 1902166556 |
| Legal business name LBN |
VICTORY ASSISTED LIVING HOME |
| Authorized official | MACRISTINA NITIPRAWOTO - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 05/16/2012 |
| Last updated | 05/16/2012 - About 14 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
There are currently no reviews for VICTORY ASSISTED LIVING HOME