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Organization
TRIUMPH ENTERPRISES INC
Active
Organization
TRIUMPH ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA L FLACK (OWNER/PRESIDENT)
(919) 491-8125
Entity
Organization
Contact information
Practice address
5205 PEPPERCORN ST, DURHAM, NC 27704-1109
(919) 491-8125
Mailing address
PO BOX 38163, GREENSBORO, NC 27438-8163
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301461K
—
NC
Enumeration date
01/09/2008
Last updated
01/09/2008
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