| NPI | 1972978716 |
|---|---|
| Former Legal Business Name | VICTORY HEALTH CARE SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | BODE AKADRI CEO 443-204-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD MH-1778) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2019-09-03 |