Victory Provider LLC
NPI #1821977547 in Gainesville, Florida
Provider Information
- NPI Number
- 1821977547
- Entity Type
- Organization
- Organization Name
- Victory Provider LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Aug 27, 2025
- Last Updated
- Aug 27, 2025
Practice Location
- Address
- 6921 NW 22ND ST STE 1
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32653-1228
- Phone
- (352) 215-7964
Authorized Official
- Name
- KAMARIA JENKINS
- Title
- CEO
- Phone
- (352) 215-7964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Community/Behavioral Health |
| In Home Supportive Care |
| Day Training, Developmentally Disabled Services |
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