Victory Lake Operations, LLC
NPI #1164419511 in Hyde Park, New York
Provider Information
- NPI Number
- 1164419511
- Entity Type
- Organization
- Organization Name
- Victory Lake Operations, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 30, 2005
- Last Updated
- Jan 15, 2008
Practice Location
Authorized Official
- Name
- MR. GERALD J WOOD
- Title
- OPERATOR
- Phone
- (845) 229-9177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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