Individual
MS. VICTORIA M. MONCHILOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6314 COUNTY ROAD 16, BUTLER, IN 46721-9657
(260) 868-0507
(260) 868-0507
Mailing address
6314 COUNTY ROAD 16, BUTLER, IN 46721-9657
(260) 868-0507
(260) 868-0507
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200954290
—
IN
Enumeration date
10/28/2009
Last updated
10/28/2009
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