Organization · Type 2 NPI

Via Nova Stabilization & Reentry Network LLC

Adult Care Home Facility · Victorville, CA

NPI number 1144176595 Active

Practice location

11274 Fisherman Ln
Victorville, CA 92392-4837

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

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 1144176595

Via Nova Stabilization & Reentry Network LLC's National Provider Identifier is 1144176595, issued on Mar 9, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Victorville, CA. The record was last updated on Mar 9, 2026.