| NPI | 1972121192 |
|---|---|
| Former Legal Business Name | VICTORIAN MANOR, INC. |
| Entity Type | Organization |
| Authorized Contact | NOEMI RODRIGUEZ Onwner 954-236-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |