# SHELLIS PRIVATE HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669268132
- **Authorized official:** MRS. MEGHANN SOPHIA SHERROD RN (CEO)
- **Authorized official phone:** (912) 685-2216

## Contact information

- **Practice address:** 2340 SOUTHERN MANOR RD, METTER, GA 30439-7613
- **Practice address phone:** (912) 685-2216
- **Mailing address:** 2340 SOUTHERN MANOR RD, METTER, GA 30439-7613
- **Mailing address phone:** (912) 685-2216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/19/2025
- **Last updated:** 09/29/2025