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 |