Provider Demographics
NPI:1902436322
Name:TRIAD FAMILY CARE SERVICES, INC.
Entity Type:Organization
Organization Name:TRIAD FAMILY CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:YALUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-270-6647
Mailing Address - Street 1:215 ALAMANCE RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5525
Mailing Address - Country:US
Mailing Address - Phone:336-270-6647
Mailing Address - Fax:336-270-6198
Practice Address - Street 1:215 ALAMANCE RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5525
Practice Address - Country:US
Practice Address - Phone:336-270-6647
Practice Address - Fax:336-270-6198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care