Organization
VICTORY HEALTHCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS NONYEREM OKEREKE (DIRECTOR)
(201) 341-4051
Entity
Organization
Contact information
Practice address
343 TICHENOR AVE, SOUTH ORANGE, NJ 07079-2116
(201) 341-4051
(973) 327-4643
Mailing address
343 TICHENOR AVE, SOUTH ORANGE, NJ 07079-2116
(201) 341-4051
(973) 327-4643
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
26NR07390500
NJ
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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