Organization
VICTORIA HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS A BIANCO CNHA (EXECUTIVE DIRECTOR)
(914) 941-2450
Entity
Organization
Contact information
Practice address
25 N MALCOLM ST, OSSINING, NY 10562-3216
(914) 941-2450
(914) 941-2531
Mailing address
25 N MALCOLM ST, OSSINING, NY 10562-3216
(914) 941-2450
(914) 941-2531
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5905305N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310123
—
NY
Enumeration date
10/28/2005
Last updated
01/24/2014
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