| Victory House, LLC | |
|
481 S Concord Ave Watertown WI 53094-7307 | |
| (414) 841-2972 | |
| Not Available |
| Full Name | Victory House, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 481 S Concord Ave, Watertown, Wisconsin |
| Authorized Official Name and Position | Tiffany Sanchez (PROGRAM & OPERATIONS ANALYST) |
| Authorized Official Contact | 4148584141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory House, LLC 217 Wisconsin Ave Ste 201 Waukesha WI 53186-4946 Ph: (414) 841-2972 | Victory House, LLC 481 S Concord Ave Watertown WI 53094-7307 Ph: (414) 841-2972 |
| NPI Number | 1831053008 |
|---|---|
| Provider Enumeration Date | 12/12/2025 |
| Last Update Date | 12/12/2025 |
| Certification Date | 12/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831053008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | () | Secondary |
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