Atrium Victoria Home, Inc
Organization Active NPI Assisted Living Facility (Mental Illness) · Montgomery Village, MD
NPI 1073264693 · NPPES record last updated Jan 14, 2022
Key facts
- NPI
- 1073264693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility (Mental Illness) 3104A0625X
- Legal business name
- ATRIUM VICTORIA HOME, INC
- Practice address
- 9704 Inaugural Way
Montgomery Village, MD 20886-3157 - Phone
- (301) 963-8434
- Fax
- (301) 963-8410
- NPI assigned
- Jan 14, 2022
- Organization subpart
- No
Authorized official
- Name
- Raju Datla
- Title
- Director
- Phone
- (240) 305-3484
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Yes |
Addresses
Primary practice location
9704 Inaugural Way
Montgomery Village, MD 20886-3157
Mailing address
14920 Old Columbia Pike
Burtonsville, MD 20866-1610
Phone (240) 305-3484
Other names
- Victoria Home
Other providers in Montgomery Village, MD
- Anoel Care Assisted Living, LLC.
- Anoel Care Home Health LLC.
- Steven M. Anolik
- Vera N Ashiogwu
- Ati Holding LLC
- William Joel August
- Daniel N Azeh
- Melody Baghdoust
- Robert Wade Balentine
- Anoma Priyadharshani Bandara
All providers in Montgomery Village, MD · Assisted Living Facility (Mental Illness) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.