Organization
VICTORY HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALILAH ODOM (PRESIDENT)
(219) 229-4421
Entity
Organization
Contact information
Practice address
2302 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-5372
(219) 229-4421
(219) 200-2919
Mailing address
2302 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-5372
(219) 229-4421
(219) 200-2919
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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