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Organization
VICTORY HOME HEALTH, PALLIATIVE, WAIVER SERVICES, INC,
Active
Organization
VICTORY HOME HEALTH, PALLIATIVE, WAIVER SERVICES, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LUISA PADILLA RN (EXECUTIVE DIRECTOR)
(505) 454-0499
Entity
Organization
Contact information
Practice address
2810 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-4119
(505) 454-0499
(505) 425-9105
Mailing address
2810 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-4119
(505) 454-0499
(505) 425-9105
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
327113
NM
Other
Enumeration date
08/12/2006
Last updated
04/13/2020
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