Organization
FULLER HOME SOLUTIONS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY DAN FULLER JR. (OWNER)
(731) 225-8221
Entity
Organization
Contact information
Practice address
91 MILAN HIGHWAY, SUITE D, MEDINA, TN 38355
(731) 225-8221
Mailing address
4079 CHRISTMASVILLE RD, MEDINA, TN 38355-7634
(731) 225-8221
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
676558
TN
Other
Enumeration date
01/30/2012
Last updated
07/12/2012
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