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NPI Code Detail

MEDICARE: TRITON HEALTHCARE

MEDICARE: TRITON HEALTHCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility7007LA

General Provider Information

NPI Number : 1578952727
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRITON HEALTHCARE
Provider Business Mailing Address
First Line : 3212 38TH ST
Second Line :
City : METAIRIE
State : LA
Zip : 70001-2802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3212 38TH ST
Second Line :
City : METAIRIE
State : LA
Zip : 70001-2802
Country : US
Telephone Number : 225-324-3174
Fax Number :
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : RUTH ELAINE WRUBLESKI
Credential :
Telephone Number : 225-324-3174
Provider Enumeration Date : 01/12/2015
Last Update Date : 01/12/2015

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Directions to “TRITON HEALTHCARE ” Practice Location

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