# VICTORY MANAGEMENT FAMILY HOMES

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

## Provider details

- **NPI number:** 1215405626
- **Authorized official:** MONIQUE TAYLOR (PROGRAM MANAGER)
- **Authorized official phone:** (248) 632-2560

## Contact information

- **Practice address:** 21246 WESTVIEW AVE, FERNDALE, MI 48220-2268
- **Practice address phone:** (248) 632-2560
- **Mailing address:** 21246 WESTVIEW AVE, FERNDALE, MI 48220-2268
- **Mailing address phone:** (248) 632-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253J00000X | Foster Care Agency | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | — |
| 261QS1000X | Student Health Clinic/Center | — | — | — |
| 310400000X | Assisted Living Facility | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2018
- **Last updated:** 11/05/2018