C & R Victory House LLC
Day Training, Developmentally Disabled Services in Petersburg, VA. Organization (NPI-2).
NPI number1366170482
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1366170482
- Entity type
- Organization (NPI-2)
- Legal business name
- C & R Victory House LLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2022
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
Practice location
2708 Brierwood RdPetersburg, VA 23805-2902
Phone 804-892-0056
Mailing address
2708 Brierwood RdPetersburg, VA 23805-2902
Phone 804-892-0056
Authorized official
Rhonda Terrell Thompson
Owner
8048920056
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