| NPI | 1750036893 |
|---|---|
| Other Name | VICTORIOUS PRP |
| Entity Type | Organization |
| Authorized Contact | BOSEDE O ADETUNJI IDOWU Owner 443-540-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-03-03 |