Organization
VICTORY COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR AMAECHI MINIKWU SR. CMHP, CPP (EXECUTIVE DIRECTOR)
(305) 974-5299
Entity
Organization
Contact information
Practice address
20535 NW 2ND AVE, SUITE 202, MIAMI GARDENS, FL 33169-2547
(305) 974-5299
(786) 320-6026
Mailing address
20535 NW 2ND AVE, SUITE 202, MIAMI GARDENS, FL 33169-2547
(305) 974-5299
(786) 320-6026
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
012287100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012287100
—
FL
Enumeration date
08/26/2015
Last updated
08/26/2015
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