Provider Demographics
NPI:1295348555
Name:VICTORY NURSING SERVICES INC.
Entity type:Organization
Organization Name:VICTORY NURSING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:WAAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-315-3593
Mailing Address - Street 1:PO BOX 545
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01041-0545
Mailing Address - Country:US
Mailing Address - Phone:413-315-3593
Mailing Address - Fax:413-315-3088
Practice Address - Street 1:850 HIGH ST STE 3
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-3723
Practice Address - Country:US
Practice Address - Phone:413-315-3593
Practice Address - Fax:413-315-3088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health