MEDICARE: VICTORIA C. NZERIBE

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	251E00000X	Home Health Agency	010753	TX

General Provider Information

NPI Number	:	1619066438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTORIA C. NZERIBE

Provider Business Mailing Address
First Line	:	2617 EZEKIAL WAY
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8416
Country	:	US
Telephone Number	:	214-770-7526
Fax Number	:	972-398-0686

Provider Business Practice Location Address
First Line	:	2617 EZEKIAL WAY
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8416
Country	:	US
Telephone Number	:	214-770-7526
Fax Number	:	972-398-0686

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VICTORIA CHIMEZIE NZERIBE
Credential	:	REGISTERED NURSE
Telephone Number	:	214-770-7526

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/16/2007

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