# VICTORIAN MANOR ASSISTED LIVING FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215379433
- **Authorized official:** MS. BARBARA A DARVILLE (OWNER)
- **Authorized official phone:** (954) 682-9777

## Contact information

- **Practice address:** 900 N 24TH AVE, HOLLYWOOD, FL 33020-3455
- **Practice address phone:** (954) 929-7009
- **Practice address fax:** (954) 922-8753
- **Mailing address:** 900 N 24TH AVE, HOLLYWOOD, FL 33020-3455
- **Mailing address phone:** (954) 929-7009
- **Mailing address fax:** (954) 922-8753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | AL10816 | FL | Yes |

## Other

- **Enumeration date:** 07/30/2013
- **Last updated:** 07/30/2013