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MS. VICTORIA M. MONCHILOV

Adult Care Home

Butler, Indiana

Provider NPI: 1346576105

Provider Information:
MS. VICTORIA M. MONCHILOV 


Practice Location:
6314 COUNTY ROAD 16  BUTLER, IN 46721 US
Tel: 260-868-0507  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home

Other Provider Identifiers:

IssuerNumberStateType
200954290IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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