Provider Demographics
NPI:1154817070
Name:VICTORY HOUSE OF LEHIGH VALLEY
Entity Type:Organization
Organization Name:VICTORY HOUSE OF LEHIGH VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PASQUALE
Authorized Official - Middle Name:
Authorized Official - Last Name:DILUZIO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:610-691-3373
Mailing Address - Street 1:314 FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1860
Mailing Address - Country:US
Mailing Address - Phone:610-691-3373
Mailing Address - Fax:610-974-9334
Practice Address - Street 1:314 FILLMORE ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1860
Practice Address - Country:US
Practice Address - Phone:610-691-3373
Practice Address - Fax:610-974-9334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE=========OtherTRANSITION HOUSING
PA=========OtherHOUSING