Fuller Rehabilitation

LBN: Fuller Rehabilitation And Consulting Services Inc.
Fuller Rehabilitation is an health care organization with primary practice located at 529 Rollins Industrial Blvd , Ringgold GA 30736-2872. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty. Fuller Rehabilitation And Consulting Services Inc. can be contacted via phone (706) 965-6131, or through Fuller, Carter D. via phone (706) 965-0352.

Contact Information

Primary practice address
529 Rollins Industrial Blvd Ringgold GA 30736-2872
Phone: (706) 965-6131
Fax: (706) 965-3801
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Carter D.
Phone: (706) 965-0352

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Georgia
Suppliers / Customized Equipment 332BC3200X Georgia

Profile Details

NPI number 1063445526
LBN Legal business name Fuller Rehabilitation And Consulting Services Inc.
DBA Doing business as Fuller Rehabilitation
Authorized official Fuller, Carter D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 8th, 2006
Last updated May 20th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063445526 NPPES
Tennessee MEDICAID 4581852
Tennessee MEDICAID 1063445526
Tennessee MEDICAID 000660074A

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