Organization
VICTORY ASSOCIATES LTD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUSEGUN O. OGIDAN (PRESIDENT/CEO)
(303) 399-4177
Entity
Organization
Contact information
Practice address
6403 E COLFAX AVE, DENVER, CO 80220-1603
(303) 399-4177
(303) 399-0500
Mailing address
PO BOX 300692, DENVER, CO 80203-0692
(303) 399-4177
(303) 399-0500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014306
DME/HME SUPPLY PROVVIDER
CO
05
—
08002032
—
CO
Enumeration date
09/21/2005
Last updated
10/13/2015
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