NPI 1073795423

Stanley Fuller

Organisation Adult Care Home Facility Fremont, OH

Practice location

Address: 117 N Wayne St, Fremont, OH 43420-2431
Phone: (419) 307-2984

Authorised official

Name: Stanley B Fuller
Title: Lpn
Phone: (419) 307-2984

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence PN 102037 (OH)

Other Custodial Care Facility providers in Ohio →

Registry record

NPI: 1073795423
Entity type: Organization
NPI issued: 28 Nov 2007
Record last updated: 28 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.