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Organization
VICTORY HOUSE
Active
Organization
VICTORY HOUSE
Active
Parent organization
STAR CARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STAR CARE INC
Authorized official
MRS. MARTINA E. UKATTAH (CEO)
(336) 294-4966
Entity
Organization
Contact information
Practice address
804 QUAIL COVE CT, GREENSBORO, NC 27406-8082
(336) 292-7688
(336) 851-6725
Mailing address
804 QUAIL COVE CT, GREENSBORO, NC 27406-8082
(336) 292-7688
(336) 851-6725
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-876
NC
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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