NPI 1487896924

A Victorious Health Service

Organisation Case Management Agency Rock Hill, SC

Practice location

Address: 2025 Ebenezer Rd STE J1, Rock Hill, SC 29732-1079
Phone: (803) 980-0116
Fax: (803) 980-0117
Mailing address: 3549 N Sharon Amity Rd STE 301, Charlotte, NC 28205-2975

Authorised official

Name: Ike Ifedi
Title: Director
Phone: (704) 535-0995

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence EN0925 (SC)

Other Case Management providers in South Carolina →

Registry record

NPI: 1487896924
Entity type: Organization
NPI issued: 30 Mar 2009
Record last updated: 30 Mar 2009

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.