Organization
TRIUMPH RESIDENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON LAMONT TILLAGE JR. (CEO)
(757) 761-3921
Entity
Organization
Contact information
Practice address
3001 CHURCHLAND BLVD, CHESAPEAKE, VA 23321-5603
(757) 761-3921
Mailing address
3921 OLD FARM RD, PORTSMOUTH, VA 23703-2623
(757) 761-3921
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us