# VICTORIOUS FAMILY AND NURSING HEALTHCARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1487236071
- **Authorized official:** MS. ESHTER MONIE GONGA HEALTHCARE AGENCY (ADMINISTRATOR)
- **Authorized official phone:** (240) 470-9867

## Contact information

- **Practice address:** 14333 LAUREL BOWIE RD STE 108, LAUREL, MD 20708-1149
- **Practice address phone:** (240) 470-9867
- **Practice address fax:** (240) 470-9867
- **Mailing address:** 14333 LAUREL BOWIE RD STE 108, LAUREL, MD 20708-1149
- **Mailing address phone:** (240) 470-9867
- **Mailing address fax:** (240) 470-9867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2021
- **Last updated:** 04/23/2021