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Organization
TRIVIUM SOUTH HEALTHCARE, LLC
Active
Organization
TRIVIUM SOUTH HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIGEL ONIKO DOUGLAS OWNER (ADMINISTRATOR)
(877) 541-5595
Entity
Organization
Contact information
Practice address
4055 LAWRENCEVILLE HWY NW, SUITE 200, LILBURN, GA 30047-2806
(877) 541-5595
(770) 717-0311
Mailing address
4055 LAWRENCEVILLE HWY NW, SUITE 200, LILBURN, GA 30047-2806
(877) 541-5595
(770) 717-0311
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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