Provider Demographics
NPI:1790411478
Name:VICTORY CARE HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:VICTORY CARE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-530-8833
Mailing Address - Street 1:5401 DELANCEY ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-1408
Mailing Address - Country:US
Mailing Address - Phone:267-530-8833
Mailing Address - Fax:
Practice Address - Street 1:5401 DELANCEY ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-1408
Practice Address - Country:US
Practice Address - Phone:267-530-8833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care