Provider Demographics
NPI:1932698636
Name:VICTORY TRANSPORTATION INC.
Entity Type:Organization
Organization Name:VICTORY TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KINGSLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:AKITI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-961-1880
Mailing Address - Street 1:1700 UNIVERSITY BLVD STE 13
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39204-3907
Mailing Address - Country:US
Mailing Address - Phone:601-961-1880
Mailing Address - Fax:601-360-2266
Practice Address - Street 1:1700 UNIVERSITY BLVD STE 13
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39204-3907
Practice Address - Country:US
Practice Address - Phone:601-961-1880
Practice Address - Fax:601-360-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)