# DIVINE VICTORY HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669746053
- **Authorized official:** VICTORIA B AJAYI RN (ADMINISTRATOR/DON)
- **Authorized official phone:** (817) 714-5342

## Contact information

- **Practice address:** 223 FLUSHING QUAIL DR, ARLINGTON, TX 76002-3357
- **Practice address phone:** (817) 714-5342
- **Mailing address:** 223 FLUSHING QUAIL DR, ARLINGTON, TX 76002-3357
- **Mailing address phone:** (817) 714-5342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 03/01/2012