Victory Health Care Agency Llc

LBN: Victory Health Care Agency Llc
Victory Health Care Agency Llc is an health care organization with primary practice located at 5555 Conner Ave Suite 3247, Detroit MI 48213. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Transportation Services / Private Vehicle. Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities is the primary health care specialty. Victory Health Care Agency Llc can be contacted via phone (313) 882-3303, or through Dacosta, Joan via phone (313) 882-3303.

Contact Information

Primary practice address
5555 Conner Ave Suite 3247 Detroit MI 48213
Phone: (313) 882-3303
Fax: (313) 571-3304
Website:
Map and Directions
Authorized official contact:
Name: Dacosta, Joan Certified in Nursing Administration (CNA)
Phone: (313) 882-3303

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 35304 Michigan
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 35304 Michigan
Transportation Services / Private Vehicle 347C00000X 35304 Michigan

Profile Details

NPI number 1306172747
LBN Legal business name Victory Health Care Agency Llc
DBA Doing business as
Authorized official Dacosta, Joan Certified in Nursing Administration (CNA)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2009
Last updated Nov 23rd, 2010 - about 15 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.

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