Organization
VICTORY HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA N OKOWA (DIRECTOR)
(980) 418-8225
Entity
Organization
Contact information
Practice address
1519 W GARRISON BLVD, GASTONIA, NC 28052-3671
(704) 759-4225
(980) 289-1302
Mailing address
8501 TOWER POINT DR, CHARLOTTE, NC 28227-7849
(704) 841-0203
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
HC3021
NC
253Z00000X
In Home Supportive Care Agency
Primary
HC3021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC3021
—
NC
Enumeration date
01/05/2017
Last updated
11/02/2023
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