Victory Mountain, Inc. in Ironton - Residential Treatment Facility, Emotionally Disturbed Children
Victory Mountain, Inc. - NPI 1295954741
Victory Mountain, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Ironton, Missouri. Victory Mountain, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Victory Mountain, Inc. is 1295954741. The last update date is 2020-08-22.
Victory Mountain, Inc.'s current location address is Hc 69 Box 1455, Ironton, Missouri. You can contact this provider via phone number 5735467592 and fax number 5735460125. The mailing address for Victory Mountain, Inc. is Hc 69 Box 1455, Ironton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Victory Mountain, Inc. |
|---|---|
| Address | Hc 69 Box 1455, Ironton, Missouri |
| Phone Number | 5735467592 |
| Fax Number | 5735460125 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Skinner Christopher |
| Credentials | L.P.C. |
| Telephone Number | 5735467592 |
NPI Number Detail
| NPI Number | 1295954741 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Hc 69 Box 1455 |
|---|---|
| City | Ironton |
| State | Missouri (MO) |
| Post Code | 636509606 |
| Phone Number | 5735467592 |
| Fax Number | 5735460125 |
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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What is the unique identifier code issued to Victory Mountain, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Victory Mountain, Inc. has been assigned the NPI (National Provider Identifier) 1295954741. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Victory Mountain, Inc. located?
The Victory Mountain, Inc. is located at Hc 69 Box 1455, Ironton, MO 636509606.
What is Victory Mountain, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Victory Mountain, Inc. 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 issue the 1295954741 to Victory Mountain, Inc.?
The Victory Mountain, Inc. received its 1295954741 assignment from the Centers for Medicare & Medicaid Services on 2007-04-24.
When was the Victory Mountain, Inc.'s information last updated?
The Victory Mountain, Inc.'s information was last updated on 2020-08-22.
NPI Number: 1639193113
Address: 3532 Ephraim Mcdowell Dr, Louisville, KY