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Organization
VICTORY HOMES LLC
Active
Organization
VICTORY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIE KPANAKU RN, BSN, PHN (ADMINISTRATOR, OWNER)
(763) 321-1278
Entity
Organization
Contact information
Practice address
7917 PERRY AVE N, BROOKLYN PARK, MN 55443-2418
(763) 321-1278
(888) 349-5754
Mailing address
7917 PERRY AVE N, BROOKLYN PARK, MN 55443-2418
(763) 321-1278
(888) 349-5754
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
09/23/2021
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