Organization
VICTORY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YILLAH ELI KARGBO (DIRECTOR OF NURSING)
(651) 398-5708
Entity
Organization
Contact information
Practice address
1582 POINT DOUGLAS RD S, SAINT PAUL, MN 55119-6006
(651) 398-5708
Mailing address
1582 POINT DOUGLAS RD S, SAINT PAUL, MN 55119-6006
(651) 398-5708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
07/28/2023
Last updated
11/14/2023
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