Trivium South Healthcare, LLC
Home Health in Lilburn, GA. Organization (NPI-2).
NPI number1982000386
StatusActive
Last updated in NPPESNov 12, 2014
Details
- NPI
- 1982000386
- Entity type
- Organization (NPI-2)
- Legal business name
- Trivium South Healthcare, LLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2014
- Last updated
- Nov 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
4055 Lawrenceville Hwy NwSuite 200
Lilburn, GA 30047-2806
Phone 877-541-5595 · Fax 770-717-0311
Mailing address
4055 Lawrenceville Hwy NwSuite 200
Lilburn, GA 30047-2806
Phone 877-541-5595 · Fax 770-717-0311
Authorized official
Nigel Oniko Douglas
Administrator
8775415595
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All 18 Home Health Agency providers in Lilburn · All 990 providers in Lilburn
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