<Unavail>

LBN: Victor Community Support Services, Inc.
<Unavail> is an health care organization with primary practice located at 733 Webster St , Fairfield CA 94533-5520. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Victor Community Support Services, Inc. can be contacted via phone (707) 425-5744, or through Wiechert, Angie R via phone (530) 230-1210.

Contact Information

Primary practice address
733 Webster St Fairfield CA 94533-5520
Fax:
Website:
Authorized official contact:
Name: Wiechert, Angie R

Profile Details

NPI number 1619612447
LBN Legal business name Victor Community Support Services, Inc.
DBA Doing business as <Unavail>
Authorized official Wiechert, Angie R
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2022
Last updated Sep 19th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619612447 NPPES
California Other 01042 LEGAL ENTITY NUMBER

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