NPI 1003113549

Victory Healthcare Agency

Organisation Home Health Agency Shawnee, KS

Practice location

Address: 10303 W 77th St Apt#207, Shawnee, KS 66214-1217
Phone: (913) 602-0686
Fax: (913) 499-6198

Authorised official

Name: Samuel Addo Danso
Title: Administrator
Phone: (913) 602-0686

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence A046174 (KS)

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Registry record

NPI: 1003113549
Entity type: Organization
NPI issued: 18 Feb 2011
Record last updated: 18 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.