Organization
VICTORY MANAGEMENT FAMILY HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE TAYLOR (PROGRAM MANAGER)
(248) 632-2560
Entity
Organization
Contact information
Practice address
21246 WESTVIEW AVE, FERNDALE, MI 48220-2268
(248) 632-2560
Mailing address
21246 WESTVIEW AVE, FERNDALE, MI 48220-2268
(248) 632-2560
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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