Organization
VICTORIOUS STAR SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR CHISHIMBA (PRESIDENT)
(463) 206-3099
Entity
Organization
Contact information
Practice address
1621 TORREY LN, GREENWOOD, IN 46143-8323
(463) 206-3099
Mailing address
1621 TORREY LN, GREENWOOD, IN 46143-8323
(046) 320-6309
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/24/2024
Last updated
08/29/2024
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