Whalio Doctors

NPI 1003314428

Victory Manor LLC.

Organisation Mental Illness Community Based Residential Treatment Facility Chandler, AZ

Practice location

Address
1041 S Yucca Pl, Chandler, AZ 85286-0982
Phone
(480) 277-3995
Fax
(480) 257-3447
Mailing address
1452 W Morelos St, Chandler, AZ 85224-7241

Authorised official

Name
Juster Muthoni Njuguna
Title
Administrator
Phone
(480) 277-3995

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence BH5323 (AZ)

Registry record

NPI
1003314428
Entity type
Organization
NPI issued
31 Jan 2018
Record last updated
31 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.