A Victorious Home Care
Home Health in Gastonia, NC. Organization (NPI-2).
NPI number1245472778
StatusActive
Last updated in NPPESOct 28, 2011
Details
- NPI
- 1245472778
- Entity type
- Organization (NPI-2)
- Legal business name
- A Victorious Home Care
- Organization subpart
- No
- Enumeration date
- Mar 30, 2009
- Last updated
- Oct 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | HC3794 | NC | Yes |
Practice location
1566 Union Rd Ste BGastonia, NC 28054-5301
Phone 704-865-0718 · Fax 704-865-0720
Mailing address
3549 N Sharon Amity Rd Ste 301Charlotte, NC 28205-2975
Phone 704-535-0995 · Fax 704-536-4373
Authorized official
Ike Ifedi
Director
7045350995
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