Healthcare Provider Details

I. General information

NPI: 1932764388
Provider Name (Legal Business Name): WRIGHT TOUCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2019
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 HUDDERS CREEK WAY
SIMPSONVILLE SC
29680-3566
US

IV. Provider business mailing address

305 HUDDERS CREEK WAY
SIMPSONVILLE SC
29680-3566
US

V. Phone/Fax

Practice location:
  • Phone: 864-351-9647
  • Fax: 864-509-0250
Mailing address:
  • Phone: 864-351-9647
  • Fax: 864-509-0250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. MONTAGO MAURICE WRIGHT
Title or Position: ADMINISTRATOR
Credential:
Phone: 864-351-9647