Organization
VICTORIOUS HEALTH SERVICES
Active
Other names
A Victorious Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
CYPRIAN IKE IFEDI (DIRECTOR / ADMINISTRATOR)
(704) 535-0995
Entity
Organization
Contact information
Practice address
2332 BEATTIES FORD RD, CHARLOTTE, NC 28216-4314
(704) 535-0995
(704) 536-4373
Mailing address
2332 BEATTIES FORD RD, CHARLOTTE, NC 28216-4314
(704) 535-0995
(704) 536-4373
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
HC2479
NC
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409646
—
NC
05
—
6601047
—
NC
05
—
7100596
—
NC
Enumeration date
12/05/2006
Last updated
05/27/2022
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