# VICTORY HEALTH CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VICTORY HEALTH CARE SERVICES LLC, Victory Health Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063910859
- **Authorized official:** BODE AKADRI BED, MMP (PROGRAM DIRECTOR)
- **Authorized official phone:** (443) 204-5144

## Contact information

- **Practice address:** 499C BEAUMONT AVENUE, SUITE 18, BALTIMORE, MD 21212
- **Practice address phone:** (443) 204-5144
- **Practice address fax:** (667) 212-2430
- **Mailing address:** 1900 E NORTHERN PKWY STE 205207, BALTIMORE, MD 21239-2113
- **Mailing address phone:** (443) 204-5144
- **Mailing address fax:** (410) 617-8478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2018
- **Last updated:** 12/10/2024
