Organization
VICTORY NURSING & HOME CARE, INC.
Active
Other names
Victory Staffing & Home Care Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEONA N AMADI (ADMINISTRATOR)
(404) 474-8900
Entity
Organization
Contact information
Practice address
238 S CARROLL RD, VILLA RICA, GA 30180-2625
(404) 474-8900
(404) 474-1189
Mailing address
238 S. CARROLL RD., VILLA RICA, GA 30180-1929
(404) 474-8900
(404) 474-1189
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
022-R-0503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275601989A
—
GA
Enumeration date
12/04/2010
Last updated
06/07/2017
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