Organization
VICTOR & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SONNY S. PERSAD (CEO/PRESIDENT)
(919) 718-4988
Entity
Organization
Contact information
Practice address
1600 S THIRD STREET, SANFORD, NC 27330-4201
(919) 718-4988
(191) 718-4990
Mailing address
PO BOX 261, CAMERON, NC 28326-0261
(919) 718-4988
(191) 718-4990
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-043-048
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408979
—
NC
05
—
7804832
—
NC
05
—
7805414
—
NC
05
—
8301169
—
NC
Enumeration date
10/18/2006
Last updated
08/17/2012
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