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Organization
VICTORY HEALTH CARE SERVICES LLC
Active
Organization
VICTORY HEALTH CARE SERVICES LLC
Active
Other names
VICTORY HEALTH CARE SERVICES LLC, Victory Health Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
BODE AKADRI BED, MMP (PROGRAM DIRECTOR)
(443) 204-5144
Entity
Organization
Contact information
Practice address
499C BEAUMONT AVENUE, SUITE 18, BALTIMORE, MD 21212
(443) 204-5144
(667) 212-2430
Mailing address
1900 E NORTHERN PKWY STE 205207, BALTIMORE, MD 21239-2113
(443) 204-5144
(410) 617-8478
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
01/26/2018
Last updated
12/10/2024
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