Individual
MONTAGO MAURICE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 PALMETTO DR, SIMPSONVILLE, SC 29681-6128
(864) 509-0435
(864) 509-0250
Mailing address
201B W BUTLER RD, MAULDIN, SC 29662-2536
(864) 509-0435
(864) 509-0250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/19/2016
Last updated
04/04/2017
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