Organization
VICTORY MULTICARE NURSING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLARA OKPOMO RN,BSN (CEO)
(770) 942-8033
Entity
Organization
Contact information
Practice address
4350 HUNTCLIFF TRCE, DOUGLASVILLE, GA 30135-8428
(770) 942-8033
(770) 942-8033
Mailing address
4350 HUNTCLIFF TRCE, DOUGLASVILLE, GA 30135-8428
(770) 942-8033
(770) 942-8033
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
048-R-0836
GA
253Z00000X
In Home Supportive Care Agency
048-R-0836
GA
Other
Enumeration date
04/15/2011
Last updated
03/01/2012
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