VICTOR RAY FULFORD

LUBBOCK, TX
NPI1548387160
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: TX  117087)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Mr. VICTOR RAY FULFORD NA
5720 79TH ST
LUBBOCK, TX 79424-2624
Phone number: 806-698-9105
Mailing Address
Mr. VICTOR RAY FULFORD NA
5720 79TH ST
LUBBOCK, TX 79424-2624
Phone number: 806-698-9105