Home » Oklahoma » 73538 » Victory Home Health, Llc

Victory Home Health, Llc

Victory Home Health, Llc is a health care provider in Tishomingo, OK. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 104 Thoma Dr Ste 1, Box 769, Elgin, OK 73538-2203, US
Practice Location Phone580-492-6166
Practice Location Fax580-492-6160
Legal Business NameVICTORY HOME HEALTH, LLC
Other Organization NameVICTORY HOME HEALTH AND HOSPICE
Other Organization Name TypeDoing Business As Name
NPI ?1497733182
Entity TypeOrganization
Enumeration Date ? Jan 4, 2006
Last Update Date ? Aug 18, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Victory Home Health, Llc

SpecialtySpecializationLicenseLicense State
Home Health 7767Oklahoma

legacy-id-icon Legacy Provider IDs of Victory Home Health, Llc

Provider IdIssuer StateIssuer TypeIssuer
100262440BOklahomaMedicaid
100262440COklahomaMedicaid
100262440KOklahomaMedicaid
100262440LOklahomaMedicaid

official-icon Authorized Official of Victory Home Health, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Victory Home Health, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Kim Cripps (RN)
Authorized Official Title/PositionADMINISTRATOR
Authorized Official Phone Number580-371-2002