Organization
VICTORIOUS ASSITED LIVING HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLORA TERRONES (OWNER)
(623) 418-0512
Entity
Organization
Contact information
Practice address
3501 W ORANGEWOOD AVE, PHOENIX, AZ 85051-6457
(623) 418-0512
Mailing address
3501 W ORANGEWOOD AVE, PHOENIX, AZ 85051-6457
(623) 418-0512
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10128H
AZ
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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