Organization
TRIUMPHANT HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIERRA PATRICE JONES (OWNER)
(919) 648-5782
Entity
Organization
Contact information
Practice address
200 W ASH ST STE 205, GOLDSBORO, NC 27530-3679
(919) 648-5782
Mailing address
200 W ASH ST STE 205, GOLDSBORO, NC 27530-3679
(919) 648-5782
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/26/2024
Last updated
08/07/2024
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