Victory Lake Operations, Llc

LBN: Victory Lake Operations, Llc
Victory Lake Operations, Llc is an health care organization with primary practice located at 419 N Quaker Ln , Hyde Park NY 12538-2933. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Victory Lake Operations, Llc can be contacted via phone (845) 229-9177, or through Wood, Gerald J via phone (845) 229-9177.

Contact Information

Primary practice address
419 N Quaker Ln Hyde Park NY 12538-2933
Phone: (845) 229-9177
Fax: (845) 229-2734
Website:
Map and Directions
Authorized official contact:
Name: Wood, Gerald J
Phone: (845) 229-9177

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 00308961 New York

Profile Details

NPI number 1164419511
LBN Legal business name Victory Lake Operations, Llc
DBA Doing business as
Authorized official Wood, Gerald J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2005
Last updated Jan 15th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164419511 NPPES
New York MEDICAID 00308961

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