Organization
FULTON HOME CARE SERVICES LLC
Active
Organization
FULTON HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERTISHIA LASHANTI MOSLEY (CHIEF OF OPERATIONS)
(727) 565-9029
Entity
Organization
Contact information
Practice address
2308 FULTON WAY, LARGO, FL 33774-1517
(727) 565-9029
Mailing address
2308 FULTON WAY, LARGO, FL 33774-1517
(727) 565-9029
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022971400
—
FL
Enumeration date
05/10/2019
Last updated
05/10/2019
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