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Organization
VICTORY FIVE HEALTHCARE INC
Active
Organization
VICTORY FIVE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRUF ALI KHAN (ADMINISTRATOR)
(817) 239-1243
Entity
Organization
Contact information
Practice address
2323 W ROCHELLE RD, 7 SUITES # B, IRVING, TX 75062-7050
(972) 258-0527
(972) 258-0525
Mailing address
2323 W ROCHELLE RD, 7 SUITES # B, IRVING, TX 75062-7050
(972) 258-0527
(972) 258-0525
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014922
DADS HCSSA LICENSE
TX
05
—
323803201
—
TX
Enumeration date
04/10/2007
Last updated
07/01/2024
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