Organization
VICTAN OF NORTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA OLE (MANAGING PARTNER)
(904) 672-8006
Entity
Organization
Contact information
Practice address
2327 GREEN OAK DR, JACKSONVILLE, FL 32211-3922
(904) 672-8006
Mailing address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
(904) 672-8006
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/09/2026
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