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Organization
VICTORY AT HOME CARE LLC
Active
Organization
VICTORY AT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALINE WAHOME (MANAGER)
(888) 588-1049
Entity
Organization
Contact information
Practice address
2812 PARK SPRINGS DR, GRAND PRAIRIE, TX 75052-8529
(888) 588-1049
Mailing address
2812 PARK SPRINGS DR, GRAND PRAIRIE, TX 75052-8529
(888) 588-1049
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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