Organization
VICTORIA HOUSE SENIOR LIVING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J VINCE (CFO)
(330) 799-1711
Entity
Organization
Contact information
Practice address
5295 ASHLEY CIR, YOUNGSTOWN, OH 44515-1160
(330) 799-1711
Mailing address
5295 ASHLEY CIR, YOUNGSTOWN, OH 44515-1160
(330) 799-1711
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2440R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167538098
MEDICAID ASSISTED LIVING WAIVER
OH
Enumeration date
03/27/2007
Last updated
08/26/2013
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