| NPI | 1669793949 |
|---|---|
| Former Legal Business Name | FULLER REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | CARTER D. FULLER President, CEO 706-965-0352 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |