Provider Demographics
NPI:1013247865
Name:VICTORY HEALTHCARE INC
Entity type:Organization
Organization Name:VICTORY HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RUFUS
Authorized Official - Middle Name:OLADIPO
Authorized Official - Last Name:ARIYO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-403-6400
Mailing Address - Street 1:1250 FM 2234 RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-6467
Mailing Address - Country:US
Mailing Address - Phone:281-403-6400
Mailing Address - Fax:281-499-9711
Practice Address - Street 1:1250 FM 2234 RD
Practice Address - Street 2:SUITE D
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-6467
Practice Address - Country:US
Practice Address - Phone:281-403-6400
Practice Address - Fax:281-499-9711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health