Provider Demographics
NPI:1619755824
Name:VICTORY ACADEMY OF TOLEDO
Entity Type:Organization
Organization Name:VICTORY ACADEMY OF TOLEDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENKOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-203-3717
Mailing Address - Street 1:2125 UNIVERSITY PARK DR
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-6910
Mailing Address - Country:US
Mailing Address - Phone:517-333-9030
Mailing Address - Fax:
Practice Address - Street 1:3648 VICTORY AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-2564
Practice Address - Country:US
Practice Address - Phone:419-442-8455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)