NPI 1316470081
Victory Residential Home, LLC
Practice location
- Address
- 440 Plummer Dr, Chesapeake, VA 23323-3116
- Phone
- (757) 673-4438
- Fax
- (757) 673-4438
Authorised official
- Name
- Sonja Denise Carraway
- Title
- Ceo
- Phone
- (757) 567-3292
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1316470081
- Entity type
- Organization
- NPI issued
- 9 Apr 2017
- Record last updated
- 9 Apr 2017
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.