| Victory Aid Llc. | |
|
1 Domessina Ln Apt F7 Caldwell NJ 07006-4850 | |
| (862) 703-8180 | |
| Not Available |
| Full Name | Victory Aid Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 Domessina Ln Apt F7, Caldwell, New Jersey |
| Authorized Official Name and Position | Matthew M. Nicastro (OWNER/SUPERVISOR) |
| Authorized Official Contact | 8627038180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Aid Llc. 1 Domessina Ln Apt F7 Caldwell NJ 07006-4850 Ph: (862) 703-8180 | Victory Aid Llc. 1 Domessina Ln Apt F7 Caldwell NJ 07006-4850 Ph: (862) 703-8180 |
| NPI Number | 1518502764 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518502764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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