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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
1010 W NORTHWEST BLVD, WINSTON SALEM, NC 27101-1105
(336) 607-8501
(336) 725-4030
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
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302304
—
NC
05
—
8302304A
—
NC
05
—
8302304S
—
NC
Enumeration date
01/24/2008
Last updated
04/24/2009
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