VICTORIAN MANOR INC. NPI 1972121192

NPI Information

NPI: 1972121192
Provider Name: VICTORIAN MANOR, INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
11150 SW 42ND CT
DAVIE, FL
ZIP 33328
Phone: (954) 236-4300
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VICTORIAN MANOR, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Davie, FL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. VICTORIAN MANOR, INC. NPI is 1972121192. The provider is registered as an organization entity type.

The provider's business location address is:

11150 SW 42ND CT
DAVIE, FL
ZIP 33328-140
Phone: (954) 236-4300

The provider's authorized official is Noemi Rodriguez .
The authorized official title is Onwner and has the following contact phone number (954) 236-4300.

The enumeration date for this NPI number is 7/14/2020 and was last updated on 7/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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