# VICTORY HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STAR CARE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588801294
- **Legal business name:** STAR CARE INC
- **Authorized official:** MRS. MARTINA E. UKATTAH (CEO)
- **Authorized official phone:** (336) 294-4966

## Contact information

- **Practice address:** 804 QUAIL COVE CT, GREENSBORO, NC 27406-8082
- **Practice address phone:** (336) 292-7688
- **Practice address fax:** (336) 851-6725
- **Mailing address:** 804 QUAIL COVE CT, GREENSBORO, NC 27406-8082
- **Mailing address phone:** (336) 292-7688
- **Mailing address fax:** (336) 851-6725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-041-876 | NC | Yes |

## Other

- **Enumeration date:** 01/16/2009
- **Last updated:** 01/16/2009