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Organization
WRIGHT DREAM
Active
Organization
WRIGHT DREAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TAMEKA LA 'COLE WRIGHT (OWNER/HOME HEALTH AIDE ADMINISTRATO)
(574) 300-2820
Entity
Organization
Contact information
Practice address
706 S SHERIDAN ST, SOUTH BEND, IN 46619
(574) 300-2820
Mailing address
706 S SHERIDAN ST, SOUTH BEND, IN 46619
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2011
Last updated
03/29/2011
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