Provider Demographics
NPI:1851685283
Name:RENEE WRIGHT
Entity Type:Organization
Organization Name:RENEE WRIGHT
Other - Org Name:SATILLA COMMUNITY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-449-7111
Mailing Address - Street 1:1007 MARY ST
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31503-3823
Mailing Address - Country:US
Mailing Address - Phone:912-449-7111
Mailing Address - Fax:
Practice Address - Street 1:125 LION LN
Practice Address - Street 2:
Practice Address - City:MERSHON
Practice Address - State:GA
Practice Address - Zip Code:31551-2234
Practice Address - Country:US
Practice Address - Phone:912-449-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SATILLA COMMUNITY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care