Trivium South Healthcare, LLC

NPI #1982000386 in Lilburn, Georgia

Provider Information

NPI Number: 1982000386
Entity Type: Organization
Organization Name: Trivium South Healthcare, LLC
Primary Specialty: Home Health
Enumeration Date: Nov 12, 2014
Last Updated: Nov 12, 2014

Practice Location

Address: 4055 LAWRENCEVILLE HWY NW
Address 2: SUITE 200
City: Lilburn
State: Georgia
ZIP Code: 30047-2806
Phone: (877) 541-5595

Authorized Official

Name: MR. NIGEL ONIKO DOUGLAS, OWNER
Title: ADMINISTRATOR
Phone: (877) 541-5595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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