Organization
VICTORIOUS HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYABODE MARY ONAMUTI (PRESIDENT)
(571) 292-1461
Entity
Organization
Contact information
Practice address
9116 CENTER ST, SUITE 206, MANASSAS, VA 20110-5458
(571) 292-1461
(571) 292-2196
Mailing address
9116 CENTER ST, SUITE 206, MANASSAS, VA 20110-5458
(571) 292-1461
(571) 292-2196
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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