# FULTON HOMES ASSISTED LIVING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fulton Homes
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881487072
- **Authorized official:** MS. DEMERIA BRUCE (OWNER)
- **Authorized official phone:** (402) 502-0502

## Contact information

- **Practice address:** 13750 MILLARD AVE, OMAHA, NE 68137-2712
- **Practice address phone:** (402) 502-0502
- **Mailing address:** 13750 MILLARD AVE, OMAHA, NE 68137-2712
- **Mailing address phone:** (402) 502-0502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/28/2025
- **Last updated:** 05/28/2025