Provider Demographics
NPI:1104698687
Name:VICTOBA HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:VICTOBA HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OBARO
Authorized Official - Middle Name:BLESSING
Authorized Official - Last Name:EBIBOKEFIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-835-5860
Mailing Address - Street 1:21030 KADEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-8343
Mailing Address - Country:US
Mailing Address - Phone:713-835-5860
Mailing Address - Fax:
Practice Address - Street 1:21030 KADEFIELD DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-8343
Practice Address - Country:US
Practice Address - Phone:713-835-5860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty