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VICTORY WELLNESS CENTER LLC NPI 1255662516


NPI Information

NPI: 1255662516
Provider Name: VICTORY WELLNESS CENTER, LLC

Other Name: VICTORY WELLNESS CENTER, LLC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
123 CAILLAVET ST
BILOXI, MS
ZIP 39530
Phone: (228) 386-7487
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VICTORY WELLNESS CENTER, LLC is a clinic center in Biloxi, MS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VICTORY WELLNESS CENTER, LLC NPI is 1255662516. The provider is registered as an organization entity type.
The provider Other Name Is Victory Wellness Center, Llc.

The provider's business location address is:

123 CAILLAVET ST
BILOXI, MS
ZIP 39530-101
Phone: (228) 386-7487
Fax: (228) 386-7499

The provider's authorized official is Suporior R Harris .
The authorized official title is C.e.o./ Certified Nurse Practitione and has the following contact phone number (251) 610-2644.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 1/26/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterR866985MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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