Provider Demographics
NPI:1508454927
Name:TRIUMPHED
Entity Type:Organization
Organization Name:TRIUMPHED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-322-2887
Mailing Address - Street 1:713 N REYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-4748
Mailing Address - Country:US
Mailing Address - Phone:419-322-2887
Mailing Address - Fax:
Practice Address - Street 1:713 N REYNOLDS RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-4748
Practice Address - Country:US
Practice Address - Phone:419-322-2887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-03
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No172A00000XOther Service ProvidersDriverGroup - Single Specialty