Organization
TRITON HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN SANTILLO RPT (PHYSICAL THERAPIST)
(337) 962-2349
Entity
Organization
Contact information
Practice address
106 KILBOURNE CIR, CARENCRO, LA 70520-5348
(337) 896-5885
Mailing address
106 KILBOURNE CIR, CARENCRO, LA 70520-5348
(337) 896-5885
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
00556
LA
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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