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Organization

TRITON HEALTHCARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BYRON NICHOLS (OWNER)
(225) 791-8666
Entity
Organization

Contact information

Practice address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8666
(225) 791-2891
Mailing address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1553999
LA
Enumeration date
10/03/2006
Last updated
07/07/2022
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