# VICTORY HEALTHCARE AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003113549
- **Authorized official:** MR. SAMUEL ADDO DANSO BSN, RN (ADMINISTRATOR)
- **Authorized official phone:** (913) 602-0686

## Contact information

- **Practice address:** 10303 W 77TH ST, APT\#207, SHAWNEE, KS 66214-1217
- **Practice address phone:** (913) 602-0686
- **Practice address fax:** (913) 499-6198
- **Mailing address:** 10303 W 77TH ST, APT\#207, SHAWNEE, KS 66214-1217
- **Mailing address fax:** (913) 499-6198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | A046174 | KS | Yes |

## Other

- **Enumeration date:** 02/18/2011
- **Last updated:** 02/18/2011