Organization
TRIAD HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA T. LIGGINS (OWNER)
(336) 275-7328
Entity
Organization
Contact information
Practice address
1706 RAYSTON DR, GREENSBORO, NC 27405-5243
(336) 275-7328
(336) 272-6359
Mailing address
1706 RAYSTON DR, GREENSBORO, NC 27405-5243
(336) 275-7328
(336) 272-6359
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HCI-1626
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCI-1626
—
NC
Enumeration date
05/16/2007
Last updated
08/11/2016
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