Individual provider · Type 1 NPI
Carla Judith Fuller, LPN
Pediatric Skilled Nursing Facility · Hornell, NY
NPI number
1376724211
Active
Practice location
88 E Main St
Hornell, NY 14843-2074
Mailing address
9 Hughes St E, PO Box 316
Belfast, NY 14711-8725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 217696-1 (NY) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
2 other providers at this address
Other pediatric skilled nursing facility providers in Hornell
About NPI 1376724211
Carla Judith Fuller, LPN's National Provider Identifier is 1376724211, issued on Nov 20, 2007. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Hornell, NY. The record was last updated on Nov 20, 2007.