Provider Demographics
NPI:1144755117
Name:WRIGHT HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:WRIGHT HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /OPERATIONS MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:HOME NURSING MANAGER
Authorized Official - Phone:321-945-8330
Mailing Address - Street 1:PO BOX 607713
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32860-7713
Mailing Address - Country:US
Mailing Address - Phone:321-271-8303
Mailing Address - Fax:
Practice Address - Street 1:830 REFLECTIONS CIR
Practice Address - Street 2:211
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-6663
Practice Address - Country:US
Practice Address - Phone:321-271-8303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20488207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care MedicineGroup - Single Specialty