Organization
VICTORY VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY LYNN CRIDER (OWNER/ADMINISTRATOR)
(770) 735-2219
Entity
Organization
Contact information
Practice address
3650 SALEM CHURCH RD, JASPER, GA 30143-5288
(770) 735-2219
(770) 828-0698
Mailing address
3650 SALEM CHURCH RD, JASPER, GA 30143-5288
(770) 735-2219
(770) 828-0698
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH008447
GA
Other
Enumeration date
03/03/2018
Last updated
03/11/2024
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