# ANTOINETTE FULLER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Place Call Home Personal Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588991236
- **Authorized official:** MISS ANTOINETTE FULLER OWNER (OWNER OPERATOR)
- **Authorized official phone:** (678) 519-0131

## Contact information

- **Practice address:** 2024 REGISTRY DR, HAMPTON, GA 30228-6396
- **Practice address phone:** (678) 519-0131
- **Mailing address:** 2024 REGISTRY DR, HAMPTON, GA 30228-6396
- **Mailing address phone:** (678) 519-0131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | GA | Yes |
| 311500000X | Alzheimer Center (Dementia Center) | — | GA | — |
| 311ZA0620X | Adult Care Home Facility | — | GA | — |
| 315D00000X | Inpatient Hospice | — | GA | — |

## Other

- **Enumeration date:** 11/17/2009
- **Last updated:** 07/21/2022