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NPI Code Detail

MEDICARE: TRIANGLE SPRINGS, LLC

MEDICARE: TRIANGLE SPRINGS, 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
1283Q00000XPsychiatric Hospital

General Provider Information

NPI Number : 1811406051
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIANGLE SPRINGS, LLC
Provider Business Mailing Address
First Line : 4801 OLYMPIA PARK PLZ STE 1000
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-2090
Country : US
Telephone Number : 502-916-8830
Fax Number :
Provider Business Practice Location Address
First Line : 10901 WORLD TRADE BLVD.
Second Line :
City : RALEIGH
State : NC
Zip : 27617-4203
Country : US
Telephone Number : 502-400-8499
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : CHARLOTTE LAWRENCE
Credential :
Telephone Number : 615-920-7000
Provider Enumeration Date : 09/20/2017
Last Update Date : 05/04/2023

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Directions to “TRIANGLE SPRINGS, LLC ” Practice Location

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