Victabol Healthcare

NPI 1730595836 - Home Health - 251E00000X

NPI Details
NPI 1730595836
Enumeration Date 07/09/2014
Last Updated 07/09/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name VICTOOR OLANREWAJU VICTOOR
Position ADMINISTRATOR
Phone (410) 988-0758
Fax (443) 220-0029
Practice Location
4812 LIBERTY HEIGHTS AVE
BALTIMORE MD, 21207-7156, US
Phone (410) 988-0758
Fax (443) 220-0029
Business Location
3202 GREENMEAD RD
WINDSOR MILL MD, 21244-1134, US
Phone (410) 988-0758
Fax (443) 220-0029
Toxanomy
Taxonomy Code 251E00000X
License State Maryland
License Number R3543P
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According to our database, Victabol Healthcare NPI is 1730595836, taxonomy code is 251E00000X and license number is R3543P, license state is located at Maryland. Victabol Healthcare physically located at 4812 Liberty Heights Ave, Baltimore MD, 21207-7156. NPI Number 1033115704 has the healthcare provider type.

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1730595836 NPI number is provided on an as is basis without warranty of any kind. 1730595836 is maintained by the National Plan & Provider Enumeration System. The contents of Victabol Healthcare are for informational purposes only.