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Organization
TRIUMPH LLC
Active
Organization
TRIUMPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CALDWELL (CEO)
(919) 467-2433
Entity
Organization
Contact information
Practice address
189 SAMARITAN RIDGE ROAD, ELKIN, NC 28621
(336) 526-8335
Mailing address
189 SAMARITAN RIDGE ROAD, ELKIN, NC 28621
(336) 526-8335
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300779
—
NC
05
—
8300779B
—
NC
05
—
8300779G
—
NC
05
—
8300779H
—
NC
Enumeration date
01/17/2007
Last updated
08/22/2020
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