Shellback Enterprise Corporation
Shellback Enterprise Corporation is a Home Health Agency in Lawrenceville, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
170 Camden Hill RdLawrenceville, GA 30046-7418
Phone: (770) 338-6799
Fax: (770) 338-6799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X |
|---|---|
| Home Health Agency | Taxonomy 251E00000X |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1558955328 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Welch — Coo · (678) 873-2972 |
| NPI enumerated | February 23, 2021 |
| Last updated in NPPES | February 23, 2021 |
| Certification date | November 10, 2020 |
| Mailing address | Po Box 2034, Lawrenceville, GA 30046-2034 |
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