Victoria House, Inc.

NPI #1386812436 in Perry, Florida

Provider Information

NPI Number: 1386812436
Entity Type: Organization
Organization Name: Victoria House, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 12, 2008
Last Updated: Feb 12, 2008

Practice Location

Address: 907 W WILCOX ST
City: Perry
State: Florida
ZIP Code: 32347-2422
Phone: (850) 584-7408

Authorized Official

Name: MRS. CYNTHIA E. GLENN
Title: OWNER & DIRECTOR
Phone: (850) 584-2314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Private Vehicle	347C00000X
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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