Organization · Type 2 NPI

Victory Palace

Adult Care Home Facility · Grand Rapids, MI

NPI number 1104126754 Active

Practice location

908 College Ave NE
Grand Rapids, MI 49503-1751

Call (616) 214-8155 Map

Fax (616) 214-8155

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XAF410306794 (MI)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1104126754

Victory Palace's National Provider Identifier is 1104126754, issued on Oct 29, 2010. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 29, 2010.