VICTORY PROVIDER LLC

GAINESVILLE, FL
NPI1821977547
Entity TypeOrganization
Authorized ContactKAMARIA JENKINS
CEO
352-215-7964
Organization Subpart ?No
Primary Taxonomy251C00000X Day Training, Developmentally Disabled Services
Additional Taxonomies251E00000X Home Health
251S00000X Community/Behavioral Health
253Z00000X In Home Supportive Care
Enumeration Date2025-08-27
Last Update Date2025-08-27
Business Address
VICTORY PROVIDER LLC
6921 NW 22ND ST STE 1
GAINESVILLE, FL 32653-1228
Phone number: 352-215-7964
Mailing Address
VICTORY PROVIDER LLC
6921 NW 22ND ST STE 1
GAINESVILLE, FL 32653-1228
Phone number: 352-215-7964