Organization Name: | VICTORY HOME CARE, INC |
NPI Number: | 1992037543 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS A IRONA (PRESIDENT) |
Mailing Address: | 6925 Old Wake Forest Rd Ste A-6 Raleigh |
State: | NC US |
Postal Code: | 276163414 |
Phone Number: | 9192643998 |
Fax Number: | 9198031149 |
NPI Enumeration Date: | 02/08/2010 |
NPI Last Update Date: | 02/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HC4012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |