MEDICARE: VICTORIOUS HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1467027730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTORIOUS HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	81 FAIRWAY LN
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1215
Country	:	US
Telephone Number	:	561-294-1684
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 FAIRWAY LN
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1215
Country	:	US
Telephone Number	:	561-294-1684
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GELENE FILS LOREDAN
Credential	:
Telephone Number	:	561-294-1684

Provider Enumeration Date	:	05/20/2021
Last Update Date	:	05/27/2021

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Directions to “VICTORIOUS HOME HEALTH CARE LLC ” Practice Location

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