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Organization
TRIUMPH LLC
Active
Organization
TRIUMPH LLC
Active
Parent organization
TRIUMPH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIUMPH LLC
Authorized official
HAROLD E JONES JR. (MEMBER MGR./OWNER)
(919) 256-0824
Entity
Organization
Contact information
Practice address
726 N CHERRY ST, WINSTON SALEM, NC 27101-1419
(336) 748-5400
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
—
8300861
—
NC
05
—
8300861S
—
NC
Enumeration date
01/25/2007
Last updated
04/24/2009
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