# VICTORY HEALTH SYSTEM, INC.

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

## Provider details

- **NPI number:** 1982064895
- **Authorized official:** LEONA N AMADI (ADMINISTRATOR)
- **Authorized official phone:** (470) 274-0001

## Contact information

- **Practice address:** 4 E WASHINGTON ST STE B6, NEWNAN, GA 30263-1933
- **Practice address phone:** (470) 274-0001
- **Practice address fax:** (470) 274-0002
- **Mailing address:** 4 E WASHINGTON ST STE B6, NEWNAN, GA 30263-1933
- **Mailing address phone:** (470) 274-0001
- **Mailing address fax:** (470) 274-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 022-R-1503 | GA | Yes |

## Other

- **Enumeration date:** 03/04/2016
- **Last updated:** 03/04/2016