Organization
VICTORS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR BARINGOLTS (PRESIDENT)
(314) 872-8844
Entity
Organization
Contact information
Practice address
8420 DELMAR BLVD, STE 507, SAINT LOUIS, MO 63124-2170
(314) 872-8844
Mailing address
8420 DELMAR BLVD, STE 507, SAINT LOUIS, MO 63124-2170
(314) 872-8844
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8001344
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856058904
—
MO
Enumeration date
02/28/2007
Last updated
03/20/2009
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