Provider Demographics
NPI:1023894029
Name:VICTORIOUS CARE LLC
Entity type:Organization
Organization Name:VICTORIOUS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ONYINHYE
Authorized Official - Middle Name:FLORENCE
Authorized Official - Last Name:OKONKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-276-7132
Mailing Address - Street 1:437 INDIAN PARK DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-8213
Mailing Address - Country:US
Mailing Address - Phone:325-276-7132
Mailing Address - Fax:
Practice Address - Street 1:437 INDIAN PARK DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-8213
Practice Address - Country:US
Practice Address - Phone:325-276-7132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health