Provider Demographics
NPI:1902577273
Name:TRIANGLE HEALTHCARE TRAINING CENTER
Entity Type:Organization
Organization Name:TRIANGLE HEALTHCARE TRAINING CENTER
Other - Org Name:TRIANGLE HEALTHCARE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-275-9909
Mailing Address - Street 1:800 N RALEIGH ST STE C1
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-8613
Mailing Address - Country:US
Mailing Address - Phone:910-703-1065
Mailing Address - Fax:
Practice Address - Street 1:800 N RALEIGH ST STE C1
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-8613
Practice Address - Country:US
Practice Address - Phone:910-703-1065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-25
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care