Organization
FULLER REHABILITATION & CONSULTING SERVICES, INC.
Active
Parent organization
FULLER REHABILITATION & CONSULTING SERVICES, INC.
Other names
Fuller Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULLER REHABILITATION & CONSULTING SERVICES, INC.
Authorized official
MR. CARTER D. FULLER (PRESIDENT, CEO)
(706) 965-0352
Entity
Organization
Contact information
Practice address
6149 WEDEKING AVE, BLDG. D, SUITE 3, EVANSVILLE, IN 47715-8535
(812) 479-8870
(812) 473-0020
Mailing address
PO BOX 615, RINGGOLD, GA 30736-0615
(706) 965-6131
(706) 413-1353
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
05/20/2010
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