Organization
VICTORY HEALTH SYSTEM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONA N AMADI (ADMINISTRATOR)
(470) 274-0001
Entity
Organization
Contact information
Practice address
4 E WASHINGTON ST STE B6, NEWNAN, GA 30263-1933
(470) 274-0001
(470) 274-0002
Mailing address
4 E WASHINGTON ST STE B6, NEWNAN, GA 30263-1933
(470) 274-0001
(470) 274-0002
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
022-R-1503
GA
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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