Organization
FULLER HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REVETA OLIVIA FULLER (OWNER)
(615) 916-1233
Entity
Organization
Contact information
Practice address
7404 TARMAC WAY, NASHVILLE, TN 37211-0209
(615) 916-1233
Mailing address
7404 TARMAC WAY, NASHVILLE, TN 37211-0209
(615) 916-1233
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1000000014510
TN
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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