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Victorian Square, Llc
Assisted Living Facility (Mental Illness) in Rockwood, Tennessee
NPI 1710180955

Victorian Square, Llc is an Assisted Living Facility (Mental Illness) based in Prospect, TN and is specialized in Assisted Living, Mental Illness. Victorian Square, Llc practices in Rockwood, TN. The NPI Number for Victorian Square, Llc is 1710180955 and holds a License No. ACL0000000147 (Tennessee).

The current practice location address for Victorian Square, Llc is 241 S Chamberlain Ave, Rockwood, TN and can be reached out via phone at 865-354-1133 and via fax at 865-354-6371.

Location: 241 S Chamberlain Ave, Rockwood, TN, 40059-9107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710180955
Provider Name
Victorian Square, Llc
Credential
Provider Entity Type
Organization
Address
241 S Chamberlain Ave, Rockwood, TN, 40059-9107
Phone Number
865-354-1133
Fax Number
865-354-6371
Provider Enumeration Date
06/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4262690 01 TN TENNCARE/MEDICAID
institution
Provider Business Practice Location Address Details
Address
241 S Chamberlain Ave
City
Rockwood
State
Tennessee
Zip
37854-6542
Phone Number
865-354-1133
Fax Number
865-354-6371
person
Provider Business Mailing Address Details
Address
241 S Chamberlain Ave
City
Rockwood
State
Tennessee
Zip
37854-6542
Phone Number
865-354-1133
Fax Number
865-354-6371
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
ACL0000000147 (Tennessee)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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