| Victory Health Care Services Llc | |
|
499c Beaumont Avenue Suite 18 Baltimore MD 21212 | |
| (443) 204-5144 | |
| (667) 212-2430 |
| Full Name | Victory Health Care Services Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
| Location | 499c Beaumont Avenue, Baltimore, Maryland |
| Authorized Official Name and Position | Bode Akadri (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4432045144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Health Care Services Llc 1900 E Northern Pkwy Ste 205207 Baltimore MD 21239-2113 Ph: (443) 204-5144 | Victory Health Care Services Llc 499c Beaumont Avenue Suite 18 Baltimore MD 21212 Ph: (443) 204-5144 |
| NPI Number | 1063910859 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063910859 | NPI | - | NPPES |
| 666466100 | Medicaid | MD | |
| 1972978716 | Medicaid | MD |
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