VICTORY HOME HEALTH CARE, LLC, NEWPORT

provider_name-VICTORY HOME HEALTH CARE, LLC

physical_address- 1440 12TH AVENUE

physical_city-NEWPORT

physical_state -MN

physical_zip- 55055

county_name-WASHINGTON

telephone- 6513985708

adminstrator/authorized_agent- YILLAH KARGBO

license_type-  LIMITED LIABILITY COMPANY

swing_status-

hfid- 41735

license_number- 424494

medicare_number-

mn_classification- PROVISIONAL ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-5

https://www.health.state.mn.us/facilities/regulation/assistedliving/index.html

https://www.revisor.mn.gov/statutes/cite/144G.91