SHELLBACK ENTERPRISE CORPORATION

LAWRENCEVILLE, GA
NPI1558955328
Entity TypeOrganization
Authorized ContactJAMES ADAIR WELCH
COO
678-873-2972
Organization Subpart ?No
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies251E00000X Home Health
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2021-02-23
Last Update Date2021-02-23
Business Address
SHELLBACK ENTERPRISE CORPORATION
170 CAMDEN HILL RD
LAWRENCEVILLE, GA 30046-7418
Phone number: 770-338-6799
Mailing Address
SHELLBACK ENTERPRISE CORPORATION
PO BOX 2034
LAWRENCEVILLE, GA 30046-2034
Phone number: 770-338-6799