Provider Demographics
NPI:1780951830
Name:MAIDEN HEALTH SERVICES INC DBA VICTORY HOME HEALTH
Entity type:Organization
Organization Name:MAIDEN HEALTH SERVICES INC DBA VICTORY HOME HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIOMA
Authorized Official - Middle Name:VIVIENNE
Authorized Official - Last Name:ANAELE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:281-888-4253
Mailing Address - Street 1:9950 WESTPARK DR STE 614
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5196
Mailing Address - Country:US
Mailing Address - Phone:281-888-4253
Mailing Address - Fax:713-339-4456
Practice Address - Street 1:9950 WESTPARK DR. STE 614
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5271
Practice Address - Country:US
Practice Address - Phone:281-888-4253
Practice Address - Fax:713-339-4456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health