Organization
TRIUMPH PRIVATE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH SULLIVAN (OWNER)
(803) 242-8857
Entity
Organization
Contact information
Practice address
2813 WHITE OAK LN, DECATUR, GA 30032-5510
(404) 532-9226
Mailing address
2813 WHITE OAK LN, DECATUR, GA 30032-5510
(404) 532-9226
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/26/2022
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