Victor Community Support Services, Inc. | |
11209 Brockway Rd Ste C306 Truckee CA 96161-2221 | |
(530) 802-3910 | |
Not Available |
Full Name | Victor Community Support Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 11209 Brockway Rd Ste C306, Truckee, California |
Authorized Official Name and Position | Angie R Wiechert (DIRECTOR OF FINANCIAL ANALYSIS) |
Authorized Official Contact | 5302301210 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Victor Community Support Services, Inc. 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, Inc. 11209 Brockway Rd Ste C306 Truckee CA 96161-2221 Ph: (530) 802-3910 |
NPI Number | 1306619457 |
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Provider Enumeration Date | 10/31/2023 |
Last Update Date | 10/31/2023 |
Certification Date | 10/31/2023 |
Identifier | Type | State | Issuer |
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1306619457 | NPI | - | NPPES |
01042 | Other | CA | LEGAL ENTITY NUMBER |
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