| NPI | 1073264693 |
|---|---|
| Doing Business As | VICTORIA HOME |
| Entity Type | Organization |
| Authorized Contact | RAJU DATLA Director 240-305-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |