Stanley Fuller
Stanley Fuller is an Adult Care Home Facility in Fremont, Ohio. Licensed in Ohio. Registered with an NPI since 2007.
- Licensed in
- OH
- In the registry since
- 2007
Practice location Address checks out
117 N Wayne StFremont, OH 43420-2431
Phone: (419) 307-2984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence PN 102037 (OH) |
|---|
Record details
| NPI number | 1073795423 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stanley Fuller — Lpn · (419) 307-2984 |
| NPI enumerated | November 28, 2007 |
| Last updated in NPPES | November 28, 2007 |
| Mailing address | 117 N Wayne St, Fremont, OH 43420-2431 |