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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 MANAGER/OWNER)
(919) 286-0824
Entity
Organization
Contact information
Practice address
909 S MAIN ST, SUITE A, BURLINGTON, NC 27215-5756
(336) 229-5905
(336) 229-5906
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
—
8300785
—
NC
05
—
8300785B
—
NC
05
—
8300785G
—
NC
05
—
8300785H
—
NC
05
—
8300785V
—
NC
Enumeration date
01/25/2007
Last updated
11/03/2010
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