Organization
VICTORIA'S DREAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON MICHAEL MCMURPHY RN (CHIEF OPERATION OFFICER)
(502) 507-2925
Entity
Organization
Contact information
Practice address
8345 BLOOMFIELD RD, BLOOMFIELD, KY 40008-7000
(502) 507-2925
Mailing address
8345 BLOOMFIELD RD, BLOOMFIELD, KY 40008-7000
(502) 507-2925
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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