Provider Demographics
NPI:1528518396
Name:VICTORIA HEALTHCARE SERVICES INC.
Entity type:Organization
Organization Name:VICTORIA HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:N
Authorized Official - Last Name:OFIELU
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:678-499-7934
Mailing Address - Street 1:101 WATERWOOD BND
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1716
Mailing Address - Country:US
Mailing Address - Phone:678-499-7934
Mailing Address - Fax:770-461-2500
Practice Address - Street 1:101 WATERWOOD BND
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1716
Practice Address - Country:US
Practice Address - Phone:678-499-7934
Practice Address - Fax:770-461-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA056R1414253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care