Organization
VICTORY HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC I ILOABACHIE (AGENCY DIRECTOR)
(919) 846-9027
Entity
Organization
Contact information
Practice address
314 W MILLBROOK RD, SUITE 9, RALEIGH, NC 27609-4380
(919) 846-9027
(919) 870-9263
Mailing address
4705 DRESDEN VLG, RALEIGH, NC 27604-4983
(919) 846-9027
(919) 870-9263
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3446
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601591
—
NC
Enumeration date
01/02/2007
Last updated
02/21/2012
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