Organization · Type 2 NPI
Victorian Square, LLC
Assisted Living Facility (Mental Illness) · Rockwood, TN
Practice location
241 S Chamberlain Ave
Rockwood, TN 37854-6542
Fax (865) 354-6371
Mailing address
12933 W Highway 42
Prospect, KY 40059-9107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | ACL0000000147 (TN) |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
About NPI 1710180955
Victorian Square, LLC's National Provider Identifier is 1710180955, issued on Jun 6, 2007. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Rockwood, TN. The record was last updated on Jan 24, 2013.