Organization · Type 2 NPI
Stanley Fuller
Adult Care Home Facility · Fremont, OH
NPI number
1073795423
Active
Practice location
117 N Wayne St
Fremont, OH 43420-2431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | PN 102037 (OH) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
About NPI 1073795423
Stanley Fuller's National Provider Identifier is 1073795423, issued on Nov 28, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Fremont, OH. The record was last updated on Nov 28, 2007.