Organization
A VICTORIOUS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKE IFEDI (DIRECTOR)
(704) 535-0995
Entity
Organization
Contact information
Practice address
1566 UNION RD STE B, GASTONIA, NC 28054-5301
(704) 865-0718
(704) 865-0720
Mailing address
3549 N SHARON AMITY RD STE 301, CHARLOTTE, NC 28205-2975
(704) 535-0995
(704) 536-4373
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3794
NC
Other
Enumeration date
03/30/2009
Last updated
10/28/2011
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