NPI 1912455361
Victorious Healthcare L.L.C.
Practice location
- Address
- 4959 Laurel Oak Dr, Jackson, MS 39212-2150
- Phone
- (601) 209-4278
Authorised official
- Name
- Mary Jean Ben
- Title
- C.E. O.
- Phone
- (601) 209-4278
Registered specialties (15)
Adult Care Home Facility
Primary
Assisted Living Facility
Nursing Facility/Intermediate Care Facility
Skilled Nursing Facility
Intellectual Disabilities Intermediate Care Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Substance Abuse Rehabilitation Facility
Durable Medical Equipment & Medical Supplies
Nursing Facility Supplies (DME)
Oxygen Equipment & Supplies (DME)
Home Delivered Meals
Secured Medical Transport (VAN)
Private Vehicle
Respite Care
Child Intellectual and/or Developmental Disabilities Respite Care
Registry record
- NPI
- 1912455361
- Entity type
- Organization
- NPI issued
- 14 Sep 2016
- Record last updated
- 14 Sep 2016
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.