Provider Demographics
NPI:1699446922
Name:VICTORY HEALTH SOLUTIONS INC.
Entity type:Organization
Organization Name:VICTORY HEALTH SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:OBODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-216-8145
Mailing Address - Street 1:141 N 14TH ST
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-5210
Mailing Address - Country:US
Mailing Address - Phone:862-216-8145
Mailing Address - Fax:862-252-6836
Practice Address - Street 1:141 N 14TH ST
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-5210
Practice Address - Country:US
Practice Address - Phone:862-216-8145
Practice Address - Fax:862-252-6836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health