Organization
TRIUMPHANT LIVING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS C LEWIS (PRESIDENT)
(202) 536-9037
Entity
Organization
Contact information
Practice address
2704 UPSHUR ST UNIT 2, MOUNT RAINIER, MD 20712-1509
(202) 536-9037
(240) 667-1858
Mailing address
2704 UPSHUR ST UNIT 2, MOUNT RAINIER, MD 20712-1509
(202) 536-9037
(240) 667-1858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
DC
332BC3200X
Customized Equipment (DME)
—
DC
332BN1400X
Nursing Facility Supplies (DME)
—
DC
Other
Enumeration date
09/16/2009
Last updated
01/07/2011
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