# A VICTORIOUS HEALTH SERVICE

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

## Provider details

- **NPI number:** 1487896924
- **Authorized official:** IKE IFEDI (DIRECTOR)
- **Authorized official phone:** (704) 535-0995

## Contact information

- **Practice address:** 2025 EBENEZER RD STE J1, ROCK HILL, SC 29732-1079
- **Practice address phone:** (803) 980-0116
- **Practice address fax:** (803) 980-0117
- **Mailing address:** 3549 N SHARON AMITY RD STE 301, CHARLOTTE, NC 28205-2975
- **Mailing address phone:** (704) 535-0995
- **Mailing address fax:** (704) 536-4373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | EN0925 | SC | Yes |

## Other

- **Enumeration date:** 03/30/2009
- **Last updated:** 03/30/2009