Healthcare Provider Details

I. General information

NPI: 1053877019
Provider Name (Legal Business Name): WRIGHTCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2019
Last Update Date: 02/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 CARNATION DR
BIRMINGHAM AL
35215-7209
US

IV. Provider business mailing address

1121 CARNATION DR
BIRMINGHAM AL
35215-7209
US

V. Phone/Fax

Practice location:
  • Phone: 205-401-5832
  • Fax:
Mailing address:
  • Phone: 205-401-5832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LAKRISHA KATRINA WRIGHT
Title or Position: DIRECTOR
Credential:
Phone: 205-200-0116