Organization
VICTORY HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCIA CAROLINA MONTEZ (ADMINISTRATOR)
(210) 797-9544
Entity
Organization
Contact information
Practice address
5326 CHESNUT VIEW DR, SAN, TX 78247-5000
(210) 797-9544
(210) 848-3048
Mailing address
5326 CHESNUT VIEW DR, SAN, TX 78247-5000
(210) 797-9544
(210) 848-3048
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
122220
TX
323P00000X
Psychiatric Residential Treatment Facility
Primary
122220
TX
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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