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
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
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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