Healthcare Provider Details

I. General information

NPI: 1528863016
Provider Name (Legal Business Name): VICTORY STAFFING RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 OXFORD RD
OXFORD CT
06478-1232
US

IV. Provider business mailing address

590 OXFORD RD
OXFORD CT
06478-1232
US

V. Phone/Fax

Practice location:
  • Phone: 203-443-8417
  • Fax: 860-269-9348
Mailing address:
  • Phone: 203-443-8417
  • Fax: 860-269-9348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ANNETTE PRITCHETT
Title or Position: OWNER
Credential:
Phone: 203-443-8417