Organization
TRIAD GERIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA AZAKA (AGENCY OWNER/ CNA)
(336) 687-9705
Entity
Organization
Contact information
Practice address
615 SAINT GEORGE SQUARE CT STE 343, WINSTON SALEM, NC 27103-1368
(336) 687-9705
Mailing address
259 WILSON ST, LEXINGTON, NC 27295-7110
(336) 687-9705
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
02/05/2021
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