| Victorian Homes Adult Care Llc. | |
|
3110 S Rural Rd Ste 104 Tempe AZ 85282-3869 | |
| (480) 590-5644 | |
| Not Available |
| Full Name | Victorian Homes Adult Care Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3110 S Rural Rd Ste 104, Tempe, Arizona |
| Authorized Official Name and Position | Constance Victoria Bolton (ADMINISTRATOR) |
| Authorized Official Contact | 6028920633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victorian Homes Adult Care Llc. 1204 E Baseline Rd Ste 205 Tempe AZ 85283-1453 Ph: (602) 892-0633 | Victorian Homes Adult Care Llc. 3110 S Rural Rd Ste 104 Tempe AZ 85282-3869 Ph: (480) 590-5644 |
| NPI Number | 1063100949 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 10/29/2025 |
| Certification Date | 10/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063100949 | NPI | - | NPPES |
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