Organization
VICTORY FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SMYTH LSW (PRESIDENT)
(859) 527-7671
Entity
Organization
Contact information
Practice address
225 E PRONG RD, RICHMOND, KY 40475-8917
(859) 527-7671
Mailing address
PO BOX 2047, RICHMOND, KY 40476-2047
(859) 527-7671
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
KY
Other
Enumeration date
02/18/2007
Last updated
07/21/2022
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