# VICTORIA'S 7TH HEAVEN. LLC

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

## Provider details

- **NPI number:** 1831658889
- **Authorized official:** MS. MONIQUE BRYANT BSN, RN (ADMINISTRATOR)
- **Authorized official phone:** (407) 222-3058

## Contact information

- **Practice address:** 11235 SE HIGHWAY 42, SUMMERFIELD, FL 34491-6628
- **Practice address phone:** (407) 906-2904
- **Mailing address:** 673 CRYSTAL BAY LN, ORLANDO, FL 32828-6660
- **Mailing address phone:** (407) 222-3058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2019
- **Last updated:** 03/19/2019