Organization · NPI-2

Triumph Care Group

Day Training/Habilitation Specialist · Glendale, AZ

NPI number1497510887
StatusActive
Last updated in NPPESFeb 15, 2024

Details

NPI
1497510887
Entity type
Organization (NPI-2)
Legal business name
Triumph Care Group
Organization subpart
No
Enumeration date
Feb 15, 2024
Certification date
Feb 15, 2024
Last updated
Feb 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Other names

  • Triumph Care Group (Doing Business As)

Practice location

4494 W Peoria Ave Ste 101
Glendale, AZ 85302-2024

Phone 602-687-2043

Mailing address

4494 W Peoria Ave Ste 101
Glendale, AZ 85302-2024

Phone 602-687-2043

Authorized official

Idris Roberson
Owner/Ceo
6026872043

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