Organization Name: | TRIUMPHANT LIVING CARE LLC |
NPI Number: | 1013240407 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCUS C LEWIS (PRESIDENT) |
Mailing Address: | 2704 Upshur St Unit 2 Mount Rainier |
State: | MD US |
Postal Code: | 207121509 |
Phone Number: | 2025369037 |
Fax Number: | 2406671858 |
NPI Enumeration Date: | 09/16/2009 |
NPI Last Update Date: | 01/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |