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Organization
VICTORY RESIDENTIAL SERVICES LLC
Active
Organization
VICTORY RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAREL UDOCHUKWU OJIMADU (ADMINISTRATOR/OWNER)
(919) 247-8391
Entity
Organization
Contact information
Practice address
9200 SAYORNIS CT, RALEIGH, NC 27615-8114
(919) 247-8391
(919) 266-3809
Mailing address
7048 KNIGHTDALE BLVD, SUITE 101, KNIGHTDALE, NC 27545-8894
(919) 247-8391
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
02/05/2010
Last updated
07/25/2013
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