Organization
TRITON HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF DUNGAN (CEO)
(225) 791-8666
Entity
Organization
Contact information
Practice address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8666
Mailing address
14339 MEADOW RIDGE WAY DR, BATON ROUGE, LA 70817
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06714
LA
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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