Provider Demographics
NPI:1003110297
Name:TRIANGLE HOMEHEALTH INC
Entity Type:Organization
Organization Name:TRIANGLE HOMEHEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MWANGI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:919-698-3061
Mailing Address - Street 1:3325 CHAPEL HILL BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2646
Mailing Address - Country:US
Mailing Address - Phone:919-521-4068
Mailing Address - Fax:
Practice Address - Street 1:3325 CHAPEL HILL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2646
Practice Address - Country:US
Practice Address - Phone:919-521-4068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-02
Last Update Date:2011-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4257251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health