Victory Health Care Agency LLC
Victory Health Care Agency LLC is a Physical Disabilities Residential Treatment Facility in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2009.
- Licensed in
- MI
- In the registry since
- 2009
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5555 Conner Ave Ste 3247Detroit, MI 48213
Phone: (313) 882-3303
Fax: (313) 571-3304
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Disabilities Residential Treatment Facility (primary) | Taxonomy 320700000X · Licence 35304 (MI) |
|---|---|
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X · Licence 35304 (MI) |
| Private Vehicle | Taxonomy 347C00000X · Licence 35304 (MI) |
Record details
| NPI number | 1306172747 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joan Dacosta — Manger · (313) 882-3303 |
| NPI enumerated | October 20, 2009 |
| Last updated in NPPES | November 23, 2010 |
| Mailing address | 5555 Conner Ave, Suite 3247, Detroit, MI 48213 |
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