Victoria House Senior Living Center LLC

Organization Active NPI Assisted Living Facility · Youngstown, OH

NPI 1770601833 · NPPES record last updated Aug 26, 2013

Key facts

NPI
1770601833
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
2440R (OH)
Legal business name
VICTORIA HOUSE SENIOR LIVING CENTER LLC
Practice address
5295 Ashley Cir
Youngstown, OH 44515-1160
Phone
(330) 799-1711
NPI assigned
Mar 27, 2007
Organization subpart
No

Authorized official

Name
Joseph J Vince
Title
Cfo
Phone
(330) 799-1711

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2440R OH Yes

Addresses

Primary practice location

5295 Ashley Cir
Youngstown, OH 44515-1160

Mailing address

5295 Ashley Cir
Youngstown, OH 44515-1160
Phone (330) 799-1711

Other identifiers

IdentifierTypeStateIssuer
167538098OtherOHMEDICAID ASSISTED LIVING WAIVER

Other providers in Youngstown, OH

All providers in Youngstown, OH · Assisted Living Facility in Ohio

Sources for this page

Verify at the official NPI Registry.