# VICTORIA TX SNF MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Victoria Residence and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023455201
- **Authorized official:** MR. ELIE DEITSCH (MANAGER)
- **Authorized official phone:** (718) 747-8077

## Contact information

- **Practice address:** 114 MEDICAL DR, VICTORIA, TX 77904-3101
- **Practice address phone:** (361) 576-6128
- **Mailing address:** 114 MEDICAL DR, VICTORIA, TX 77904-3101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2013
- **Last updated:** 05/31/2013
