Healthcare Provider Details

I. General information

NPI: 1316673619
Provider Name (Legal Business Name): THE WRIGHT PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2022
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 COVENANT RD
COLUMBIA SC
29204-4269
US

IV. Provider business mailing address

3800 COVENANT RD
COLUMBIA SC
29204-4269
US

V. Phone/Fax

Practice location:
  • Phone: 803-939-2400
  • Fax:
Mailing address:
  • Phone: 803-939-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL C WRIGHT JR.
Title or Position: OWNER
Credential:
Phone: 864-384-8573