| NPI | 1700912771 |
|---|---|
| Doing Business As | VICTORIAN |
| Entity Type | Organization |
| Authorized Contact | LARRY STEVEN GIBSON Administrator 919-774-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL053010) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |