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FULLER REHABILITATION AND CONSULTING SERVICES INC. NPI 1104923325


NPI Information

NPI: 1104923325
Provider Name: FULLER REHABILITATION AND CONSULTING SERVICES INC.

Doing Business As: INDEPENDENT LIVING AIDS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
412 CROSSTOWN RD
PEACHTREE CITY, GA
ZIP 30269
Phone: (770) 486-7577
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FULLER REHABILITATION AND CONSULTING SERVICES INC. is a durable medical equipment medical supplies in Peachtree City, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FULLER REHABILITATION AND CONSULTING SERVICES INC. NPI is 1104923325. The provider is registered as an organization entity type.
The provider Is Doing Business As Independent Living Aids.

The provider's business location address is:

412 CROSSTOWN RD
PEACHTREE CITY, GA
ZIP 30269-915
Phone: (770) 486-7577
Fax: (770) 486-7556

The provider's authorized official is Wanda Patricia Mullis .
The authorized official title is Vice President and has the following contact phone number (706) 965-0323.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 5/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000660074AMEDICAIDGEORGIA
20952950007MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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