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Victory Health Care Agency Llc
Private Vehicle in Detroit, Michigan
NPI 1306172747

Victory Health Care Agency Llc is a Private Vehicle based in Detroit, MI. Victory Health Care Agency Llc practices in Detroit, MI. The NPI Number for Victory Health Care Agency Llc is 1306172747 and holds a License No. 35304 (Michigan).

The current practice location address for Victory Health Care Agency Llc is 5555 Conner Ave, Detroit, MI and can be reached out via phone at 313-882-3303 and via fax at 313-571-3304.

Location: 5555 Conner Ave, Detroit, MI, 48213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306172747
Provider Name
Victory Health Care Agency Llc
Credential
Provider Entity Type
Organization
Address
5555 Conner Ave, Detroit, MI, 48213
Phone Number
313-882-3303
Fax Number
313-571-3304
Provider Enumeration Date
10/20/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
5555 Conner Ave
City
Detroit
State
Michigan
Zip
48213
Phone Number
313-882-3303
Fax Number
313-571-3304
person
Provider Business Mailing Address Details
Address
5555 Conner Ave
City
Detroit
State
Michigan
Zip
48213
Phone Number
313-882-3303
Fax Number
313-571-3304
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
35304 (Michigan)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
35304 (Michigan)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
35304 (Michigan)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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