Organization
TRUE TRIUMPH SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA VIGIL (OWNER)
(719) 251-8759
Entity
Organization
Contact information
Practice address
3508 IVYWOOD LN, PUEBLO, CO 81005-2555
(719) 251-8759
Mailing address
3508 IVYWOOD LN, PUEBLO, CO 81005-2555
(719) 251-8759
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
05/18/2023
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