Organization
VICTORY HOME HEALTH AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER KUZNETSOV (PRESIDENT)
(267) 342-2453
Entity
Organization
Contact information
Practice address
380 RED LION RD STE 204, HUNTINGDON VALLEY, PA 19006-6451
(267) 342-2453
(215) 712-8630
Mailing address
380 RED LION RD STE 204, HUNTINGDON VALLEY, PA 19006-6451
(267) 342-2453
(215) 712-8630
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036700040001
—
PA
Enumeration date
07/03/2019
Last updated
04/08/2020
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