Stanley Fuller is a Adult Care Home in Fremont, Ohio. Stanley Fuller practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Stanley Fuller is 1073795423. The last update date is 2007-11-28.
Stanley Fuller's current location address is 117 N Wayne St, Fremont, Ohio. You can contact this provider via phone number 4193072984. The mailing address for Stanley Fuller is 117 N Wayne St, Fremont, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stanley Fuller |
|---|---|
| Address | 117 N Wayne St, Fremont, Ohio |
| Phone Number | 4193072984 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LPN |
|---|---|
| Authorized Official Name | Fuller B Stanley |
| Telephone Number | 4193072984 |
NPI Number Detail
| NPI Number | 1073795423 |
|---|---|
| Provider Enumeration Date | 2007-11-28 |
| Last Updated Date | 2007-11-28 |
Provider Mailing Address Detail
| Address | 117 N Wayne St |
|---|---|
| City | Fremont |
| State | Ohio (OH) |
| Post Code | 434202431 |
| Phone Number | 4193072984 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | PN 102037 |
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Definition: 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 en |
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What is the unique 10-digit identifier code issued to Stanley Fuller by the Centers for Medicare & Medicaid Services?
The Stanley Fuller has been assigned the NPI (National Provider Identifier) 1073795423 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stanley Fuller?
The Stanley Fuller is physically situated at 117 N Wayne St, in the city of Fremont, state of OH, with the postal code 434202431.
What is Stanley Fuller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stanley Fuller's area of specialization is Adult Care Home, and the corresponding taxonomy code that categorizes this field of practice is 311Za0620X.
On what date was the 1073795423 assigned to Stanley Fuller?
The Stanley Fuller was issued its 1073795423 on 2007-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Stanley Fuller's details last updated?
The information pertaining to the Stanley Fuller, including its address, specialty, and other details, was most recently updated on 2007-11-28.