Healthcare Provider Details

I. General information

NPI: 1578267373
Provider Name (Legal Business Name): VICTORYHANDSHEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8842 WHITNEY DR
LEWIS CENTER OH
43035-8297
US

IV. Provider business mailing address

8842 WHITNEY DR
LEWIS CENTER OH
43035-8297
US

V. Phone/Fax

Practice location:
  • Phone: 740-731-2372
  • Fax: 614-754-4755
Mailing address:
  • Phone: 740-731-2372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: VICTOR IFEGWU IFEAKACHI
Title or Position: CEO
Credential:
Phone: 740-731-2372