Victory Residential Corporation

LBN: Victory Residential Corporation
Victory Residential Corporation is an health care organization with primary practice located at 1566 E Jeanne Ln , San Tan Valley AZ 85140-4046. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Victory Residential Corporation can be contacted via phone (612) 636-3194, or through Davis, Xavier Alexander via phone (612) 636-3194.

Contact Information

Primary practice address
1566 E Jeanne Ln San Tan Valley AZ 85140-4046
Phone: (612) 636-3194
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Xavier Alexander
Phone: (612) 636-3194

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1396420469
LBN Legal business name Victory Residential Corporation
DBA Doing business as
Authorized official Davis, Xavier Alexander
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2023
Last updated Jun 19th, 2023 - 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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