Organization
VICTORY HEALTHCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL ADDO DANSO BSN, RN (ADMINISTRATOR)
(913) 602-0686
Entity
Organization
Contact information
Practice address
10303 W 77TH ST, APT#207, SHAWNEE, KS 66214-1217
(913) 602-0686
(913) 499-6198
Mailing address
10303 W 77TH ST, APT#207, SHAWNEE, KS 66214-1217
(913) 499-6198
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A046174
KS
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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