Victory Healthcare Agency

NPI #1003113549 in Shawnee, Kansas

Provider Information

NPI Number
1003113549
Entity Type
Organization
Organization Name
Victory Healthcare Agency
Primary Specialty
Home Health
Enumeration Date
Feb 18, 2011
Last Updated
Feb 18, 2011

Practice Location

Address
10303 W 77TH ST
Address 2
APT#207
State
Kansas
ZIP Code
66214-1217
Phone
(913) 602-0686

Authorized Official

Name
MR. SAMUEL ADDO DANSO, BSN, RN
Title
ADMINISTRATOR
Phone
(913) 602-0686

Specialties & Taxonomy Codes

Specialty
Home Health

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