# TRITON HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538312913
- **Authorized official:** MS. KATHLEEN SANTILLO RPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (337) 962-2349

## Contact information

- **Practice address:** 106 KILBOURNE CIR, CARENCRO, LA 70520-5348
- **Practice address phone:** (337) 896-5885
- **Mailing address:** 106 KILBOURNE CIR, CARENCRO, LA 70520-5348
- **Mailing address phone:** (337) 896-5885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 00556 | LA | Yes |

## Other

- **Enumeration date:** 10/29/2008
- **Last updated:** 10/29/2008