Organization · NPI-2

Adonai Victory Health Services

Nursing Care · Charlotte, NC

NPI number1518208222

StatusActive

Last updated in NPPESJul 21, 2015

Details

NPI: 1518208222
Entity type: Organization (NPI-2)
Legal business name: Adonai Victory Health Services
Organization subpart: No
Enumeration date: Mar 5, 2013
Last updated: Jul 21, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251J00000X	Nursing Care	HC3794	NC	Yes
163WH0200X	Registered Nurse, Home Health	–	–
163WI0500X	Registered Nurse, Infusion Therapy	–	–
164W00000X	Licensed Practical Nurse	–	–
225100000X	Physical Therapist	–	–
225X00000X	Occupational Therapist	–	–
235Z00000X	Speech-Language Pathologist,	–	–
251E00000X	Home Health	–	–
253Z00000X	In Home Supportive Care	HC3794	NC
372500000X	Chore Provider	–	–
372600000X	Adult Companion	–	–
374U00000X	Home Health Aide	–	–
376K00000X	Nurse's Aide	–	–

Practice location

8320 University Exec Park Dr
Suite 108
Charlotte, NC 28262-1338

Phone 980-272-9046 · Fax 980-498-1778

Mailing address

8320 University Executive Park Drive
Suite 108
Charlotte, NC 28262

Phone 980-272-9046 · Fax 980-498-1778

Authorized official

Anastasia Chinyere Ezeigbo
Owner
9802729046

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