Provider Demographics
NPI:1558680892
Name:A PLUS TRIUMPHEALTH GROUP
Entity Type:Organization
Organization Name:A PLUS TRIUMPHEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OBY
Authorized Official - Middle Name:CHRISTIANA
Authorized Official - Last Name:IKORO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:781-344-7983
Mailing Address - Street 1:99 ROCKY KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-1080
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 ROCKY KNOLL DR
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-1080
Practice Address - Country:US
Practice Address - Phone:781-344-7983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health