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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)
(919) 256-0824
Entity
Organization
Contact information
Practice address
4000 WAKE FOREST RD, SUITE 200, RALEIGH, NC 27609-6879
(919) 852-5352
(919) 852-5323
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
—
8300782
—
NC
05
—
8300782B
—
NC
05
—
8300782G
—
NC
05
—
8300782H
—
NC
05
—
8300782Q
—
NC
Enumeration date
01/29/2007
Last updated
09/28/2012
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