Organization
DIVINE VICTORY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA B AJAYI RN (ADMINISTRATOR/DON)
(817) 714-5342
Entity
Organization
Contact information
Practice address
223 FLUSHING QUAIL DR, ARLINGTON, TX 76002-3357
(817) 714-5342
Mailing address
223 FLUSHING QUAIL DR, ARLINGTON, TX 76002-3357
(817) 714-5342
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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