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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 | Specialty Code | Provider Type | |
Assisted Living Facility |
310400000X | |||
Assisted Living, Behavioral Disturbances |
3104A0630X | |||
Assisted Living, Mental Illness |
3104A0625X |
| NPI Number | 1902166556 |
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| LBN Legal business name | VICTORY ASSISTED LIVING HOME | ||||
| Authorized official | MACRISTINA NITIPRAWOTO - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/16/2012 | ||||
| Last updated | 05/16/2012 - About 14 years ago | ||||
| Identifiers |
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VICTORY ASSISTED LIVING HOME