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NPI Code Detail

MEDICARE: SOUND OF TRIUMPH HOME CARE AGENCY LLC

MEDICARE: SOUND OF TRIUMPH HOME CARE AGENCY LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1598458895
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUND OF TRIUMPH HOME CARE AGENCY LLC
Provider Business Mailing Address
First Line : 1674 DELANO AVE UNIT 233
Second Line :
City : MEMPHIS
State : TN
Zip : 38127-8515
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1674 DELANO AVE UNIT 233
Second Line :
City : MEMPHIS
State : TN
Zip : 38127-8515
Country : US
Telephone Number : 901-401-6593
Fax Number : 901-347-1259
Authorized Official
Title or Position : ADMIN
Name : BRIDGETT BRADLEY
Credential :
Telephone Number : 901-318-6967
Provider Enumeration Date : 06/01/2023
Last Update Date : 05/15/2024

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Directions to “SOUND OF TRIUMPH HOME CARE AGENCY LLC ” Practice Location

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