Organization
VICTORY PLACE HOME HEALTH CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL OLATUNDE BANKOLE RN; BSN (DIRECTOR OF ORGANIZATION)
(267) 767-3836
Entity
Organization
Contact information
Practice address
501 CENTENNIAL AVE, GILBERTSVILLE, PA 19525-9223
(267) 767-3836
(484) 949-8786
Mailing address
501 CENTENNIAL AVE, GILBERTSVILLE, PA 19525-9223
(267) 767-3836
(484) 949-8786
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RN561615
PA
251S00000X
Community/Behavioral Health Agency
RN561615
PA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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