Organization
ATRIUM VICTORIA HOME, INC
Active
Other names
Victoria Home
Organization subpart
No
Provider details
NPI number
Authorized official
RAJU DATLA (DIRECTOR)
(240) 305-3484
Entity
Organization
Contact information
Practice address
9704 INAUGURAL WAY, MONTGOMERY VILLAGE, MD 20886-3157
(301) 963-8434
(301) 963-8410
Mailing address
14920 OLD COLUMBIA PIKE, BURTONSVILLE, MD 20866-1610
(240) 305-3484
(301) 476-7544
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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