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General NPI Number Information
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NPI Number | 1407710494
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Entity Type | Organization
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Legal Business Name | VICTORIA'S LOVE HOMES
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 3920 HIGH ST
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City | SACRAMENTO
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State | CA
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Zip | 95838-3629
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Country | US
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Telephone | 510-827-5885
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Fax |
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Provider Business Mailing Address
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Address Line | 5349 PROMONTORY WAY
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City | ANTIOCH
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State | CA
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Zip | 94531-8732
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Country | US
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Telephone | 510-827-5885
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | NICHELLE WASHINGTON
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Credential |
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Telephone | 510-827-5885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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