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Organization

A VICTORIOUS HEALTH SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IKE IFEDI (DIRECTOR)
(704) 535-0995
Entity
Organization

Contact information

Practice address
2025 EBENEZER RD STE J1, ROCK HILL, SC 29732-1079
(803) 980-0116
(803) 980-0117
Mailing address
3549 N SHARON AMITY RD STE 301, CHARLOTTE, NC 28205-2975
(704) 535-0995
(704) 536-4373

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
EN0925
SC

Other

Enumeration date
03/30/2009
Last updated
03/30/2009
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