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Organization
VICTORY HOME HEALTH, LLC
Active
Organization
VICTORY HOME HEALTH, LLC
Active
Other names
Victory Home Health and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CRIPPS RN (ADMINISTRATOR)
(580) 371-2002
Entity
Organization
Contact information
Practice address
104 THOMA DR STE 1, BOX 769, ELGIN, OK 73538-2203
(580) 492-6166
(580) 492-6160
Mailing address
714 E MAIN ST, TISHOMINGO, OK 73460-2350
(580) 371-2002
(580) 371-2262
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7767
OK
Other
Enumeration date
01/04/2006
Last updated
08/18/2016
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