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Organization
SHELLYS WRIGHT CHOICE LLC
Active
Organization
SHELLYS WRIGHT CHOICE LLC
Active
Other names
Shellys Wright Choice
Organization subpart
No
Provider details
NPI number
Authorized official
KYISHA WRIGHT (CEO)
(678) 243-0352
Entity
Organization
Contact information
Practice address
1731 HIGHWAY 42 N, MCDONOUGH, GA 30253-4725
(678) 918-9955
(470) 412-6027
Mailing address
1731 HIGHWAY 42 N, MCDONOUGH, GA 30253-4725
(678) 918-9955
(470) 412-6027
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003263327A
—
GA
Enumeration date
03/16/2021
Last updated
07/10/2022
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