C & R Victory House LLC
NPI #1366170482 in Petersburg, Virginia
Provider Information
- NPI Number
- 1366170482
- Entity Type
- Organization
- Organization Name
- C & R Victory House LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Aug 9, 2022
- Last Updated
- Aug 9, 2022
Practice Location
- Address
- 2708 BRIERWOOD RD
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-2902
- Phone
- (804) 892-0056
Authorized Official
- Name
- RHONDA TERRELL THOMPSON
- Title
- OWNER
- Phone
- (804) 892-0056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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