| Victory Care Clinic | |
|
5189 Venoy Rd Wayne MI 48184-2545 | |
| (734) 331-2088 | |
| Not Available |
| Full Name | Victory Care Clinic |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5189 Venoy Rd, Wayne, Michigan |
| Authorized Official Name and Position | Osamuedemen Iyoha (OWNER) |
| Authorized Official Contact | 7343312088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Care Clinic 3876 Elder Rd S West Bloomfield MI 48324-2537 Ph: () - | Victory Care Clinic 5189 Venoy Rd Wayne MI 48184-2545 Ph: (734) 331-2088 |
| NPI Number | 1770291791 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770291791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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