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Organization

ADONAI VICTORY HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANASTASIA CHINYERE EZEIGBO R.N. (OWNER)
(980) 272-9046
Entity
Organization

Contact information

Practice address
8320 UNIVERSITY EXEC PARK DR, SUITE 108, CHARLOTTE, NC 28262-1338
(980) 272-9046
(980) 498-1778
Mailing address
8320 UNIVERSITY EXECUTIVE PARK DRIVE, SUITE 108, CHARLOTTE, NC 28262
(980) 272-9046
(980) 498-1778

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
163WI0500X
Infusion Therapy Registered Nurse
164W00000X
Licensed Practical Nurse
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
Primary
HC3794
NC
253Z00000X
In Home Supportive Care Agency
HC3794
NC
372500000X
Chore Provider
372600000X
Adult Companion
374U00000X
Home Health Aide
376K00000X
Nurse's Aide

Other

Enumeration date
03/05/2013
Last updated
07/21/2015
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