| NPI | 1972505881 |
|---|---|
| Doing Business As | DBA: VICTORY HOME CARE AGENCY |
| Entity Type | Organization |
| Authorized Contact | EVA LORANE TEJADA WARD Administrator 480-726-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ HHA 3549) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2012-04-02 |