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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
207 10TH ST, SUITE 201, N WILKESBORO, NC 28659-4153
(336) 667-1440
(336) 667-1489
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300775
—
NC
05
—
8300775B
—
NC
05
—
8300775G
—
NC
05
—
8300775H
—
NC
05
—
8300775V
—
NC
Enumeration date
01/29/2007
Last updated
07/30/2010
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