Organization
FULLER REHABILITATION AND CONSULTING SERVICES, INC.
Active
Parent organization
FULLER REHABILITATION AND CONSULTING SERVICES, INC.
Other names
Fuller Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULLER REHABILITATION AND CONSULTING SERVICES, INC.
Authorized official
MR. CARTER D. FULLER (PRESIDENT, CEO)
(706) 965-0352
Entity
Organization
Contact information
Practice address
3728 PHILIPS HWY, SUITE 38, JACKSONVILLE, FL 32207-6840
(904) 399-3509
(904) 399-3507
Mailing address
PO BOX 615, RINGGOLD, GA 30736-0615
(706) 965-6131
(706) 413-1352
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
332BC3200X
Customized Equipment (DME)
Primary
1313554
FL
Other
Enumeration date
05/27/2009
Last updated
05/11/2010
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