Organization
AVICTORIOUSCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA OLAYINKA OLAEGBE (PRESIDENT)
(775) 674-0442
Entity
Organization
Contact information
Practice address
7318 WARHOL DR, SUN VALLEY, NV 89433-6663
(775) 674-0442
(775) 674-0442
Mailing address
7318 WARHOL DR, SUN VALLEY, NV 89433-6663
(775) 674-0442
(775) 674-0442
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005040884
—
NV
Enumeration date
02/24/2016
Last updated
02/24/2016
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