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Organization
TRIUMPH RESIDENTIAL SERVICES, LLC
Active
Organization
TRIUMPH RESIDENTIAL SERVICES, LLC
Active
Parent organization
TRIUMPH RESIDENTIAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIUMPH RESIDENTIAL
Authorized official
LASHANDA POWELL (EXECUTIVE DIRECTOR)
(804) 520-0100
Entity
Organization
Contact information
Practice address
16067 CONTINENTAL BLVD, SOUTH CHESTERFIELD, VA 23834-5900
(804) 520-0100
Mailing address
16067 CONTINENTAL BLVD, SOUTH CHESTERFIELD, VA 23834-5900
(804) 520-0100
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
927-02-006
VA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
927-02-001
VA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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