# OUTPATIENT REHABILITATION CENTER OF FULTON INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669538823
- **Authorized official:** ANGIE B IZARD (OFFICE MANAGER)
- **Authorized official phone:** (662) 862-3070

## Contact information

- **Practice address:** 406 INTERCHANGE DRIVE, FULTON, MS 38843-8900
- **Practice address phone:** (662) 862-3070
- **Practice address fax:** (662) 862-4970
- **Mailing address:** PO BOX 188, FULTON, MS 38843-0188
- **Mailing address phone:** (662) 862-3070
- **Mailing address fax:** (662) 862-4970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 09/27/2018