Organization
VICTORY CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALINE WAHOME RN,BSN (MANAGER)
(214) 223-0391
Entity
Organization
Contact information
Practice address
2812 PARK SPRINGS DR, GRAND PRAIRIE, TX 75052-8529
(214) 223-0391
Mailing address
2812 PARK SPRINGS DR, GRAND PRAIRIE, TX 75052-8529
(214) 223-0391
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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