Organization
FULLER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERAD CHANCELLOR (OWNER)
(469) 337-3711
Entity
Organization
Contact information
Practice address
1205 SENECA PL, GLENN HEIGHTS, TX 75154-8821
(972) 754-7681
Mailing address
1205 SENECA PL, GLENN HEIGHTS, TX 75154-8821
(972) 754-7681
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251T00000X
PACE Provider Organization
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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