| NPI | 1124863808 |
|---|---|
| Former Legal Business Name | FULLER TRANSPORTATION LLC |
| Entity Type | Organization |
| Authorized Contact | MONIQUE FULLER Owner 318-572-6473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |