Organization
TRIUMPH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL FRIDAY IDON (OWNER/CHAIRPERSON)
(615) 586-7616
Entity
Organization
Contact information
Practice address
3044 SUMMERCREST TRL, ANTIOCH, TN 37013-1184
(615) 586-7616
(615) 984-3045
Mailing address
3044 SUMMERCREST TRL, ANTIOCH, TN 37013-1184
(615) 586-7616
(615) 984-3045
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
179761
TN
Other
Enumeration date
04/19/2014
Last updated
04/19/2014
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