Jennifer Roberta Victor in Grass Valley - Residential Treatment Facility, Emotionally Disturbed Children
Jennifer Roberta Victor - NPI 1861658890
Jennifer Roberta Victor is a Residential Treatment Facility, Emotionally Disturbed Children in Grass Valley, California. Jennifer Roberta Victor practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Jennifer Roberta Victor is 1861658890. The last update date is 2008-07-30.
Jennifer Roberta Victor's current location address is 714 W Main St, Grass Valley, California. You can contact this provider via phone number 5304779800 and fax number 5304779803. The mailing address for Jennifer Roberta Victor is 714 W Main St, Grass Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Roberta Victor |
|---|---|
| Address | 714 W Main St, Grass Valley, California |
| Phone Number | 5304779800 |
| Fax Number | 5304779803 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1861658890 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
| Address | 714 W Main St |
|---|---|
| City | Grass Valley |
| State | California (CA) |
| Post Code | 959456410 |
| Phone Number | 5304779800 |
| Fax Number | 5304779803 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jennifer Roberta Victor by the Centers for Medicare & Medicaid Services?
The Jennifer Roberta Victor has been assigned the NPI (National Provider Identifier) 1861658890 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jennifer Roberta Victor?
The Jennifer Roberta Victor is situated at 714 W Main St, in the city of Grass Valley, state of CA, with the zip code 959456410.
What is Jennifer Roberta Victor's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer Roberta Victor is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861658890 to Jennifer Roberta Victor?
The Centers for Medicare & Medicaid Services originally issued the 1861658890 to Jennifer Roberta Victor on 2008-07-30.
As of what date was the information regarding Jennifer Roberta Victor, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Roberta Victor, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-30.
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