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Organization
TRIUMPH LLC
Active
Organization
TRIUMPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD E JONES JR. (MEMBER MGR/OWNER)
(919) 256-0824
Entity
Organization
Contact information
Practice address
355 S MADISON BLVD STE C, ROXBORO, NC 27573-5485
(336) 597-2065
(336) 597-2116
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302239
—
NC
05
—
8302239B
—
NC
05
—
8302239H
—
NC
05
—
8302239V
—
NC
Enumeration date
02/06/2008
Last updated
08/03/2010
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