Organization
VICTORY HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA OGLESBY (OWNER)
(337) 546-6500
Entity
Organization
Contact information
Practice address
400 W MAPLE AVE, EUNICE, LA 70535-5346
(337) 546-6500
(337) 457-4750
Mailing address
400 W MAPLE AVE, EUNICE, LA 70535-5346
(337) 546-6500
(337) 457-4750
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1566659
—
LA
01
—
G0973
BLUE CROSS
LA
Enumeration date
06/28/2007
Last updated
06/25/2008
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