Victor Community Support Services, Inc
LBN: Victor Community Support Services, Inc
Victor Community Support Services, Inc is an health care organization with primary practice located at 1545 S Holt Rd , Stockton CA 95206-9618. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Victor Community Support Services, Inc can be contacted via phone (209) 969-5258, or through Wiechert, Angie R via phone (530) 230-1210.
Contact Information
Primary practice address
1545 S Holt Rd
Stockton CA 95206-9618
Phone: (209) 969-5258
Fax: (530) 230-1265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1003114810 |
|---|---|
| LBN Legal business name | Victor Community Support Services, Inc |
| DBA Doing business as | |
| Authorized official | Wiechert, Angie R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 2nd, 2011 |
| Last updated | Mar 2nd, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003114810 | NPPES |
| California | Other | 01042 | LEGAL ENTITY # |
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