| NPI | 1902842131 |
|---|---|
| Other Name | VICTORIA HOUSE |
| Entity Type | Organization |
| Authorized Contact | KENNETH ALAN BURROW Vice President 336-495-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL 076 025) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |