Organization
VICTORIA HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA E. GLENN (OWNER & DIRECTOR)
(850) 584-2314
Entity
Organization
Contact information
Practice address
907 W WILCOX ST, PERRY, FL 32347-2422
(850) 584-7408
(850) 223-1244
Mailing address
1752 MORGAN WHIDDON RD, PERRY, FL 32347-2145
(850) 584-2314
(850) 223-1244
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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