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Shellback Enterprise Corporation
Non-emergency Medical Transport (VAN) in Lawrenceville, Georgia
NPI 1558955328

Shellback Enterprise Corporation is a Non-emergency Medical Transport (VAN) based in Lawrenceville, GA. Shellback Enterprise Corporation practices in Lawrenceville, GA. The NPI Number for Shellback Enterprise Corporation is 1558955328 and holds a License No. (Georgia).

The current practice location address for Shellback Enterprise Corporation is 170 Camden Hill Rd, Lawrenceville, GA and can be reached out via phone at 770-338-6799 and via fax at 770-338-6799.

Location: 170 Camden Hill Rd, Lawrenceville, GA, 30046-2034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558955328
Provider Name
Shellback Enterprise Corporation
Credential
Provider Entity Type
Organization
Address
170 Camden Hill Rd, Lawrenceville, GA, 30046-2034
Phone Number
770-338-6799
Fax Number
770-338-6799
Provider Enumeration Date
02/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
170 Camden Hill Rd
City
Lawrenceville
State
Georgia
Zip
30046-7418
Phone Number
770-338-6799
Fax Number
770-338-6799
person
Provider Business Mailing Address Details
Address
170 Camden Hill Rd
City
Lawrenceville
State
Georgia
Zip
30046-7418
Phone Number
770-338-6799
Fax Number
770-338-6799
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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