FULLER FAMILY CARE HOME; NPI #1881717593

Contact Information

FULLER FAMILY CARE HOME

719 WALNUT GROVE CHURCH ROAD
HURDLE MILLS, NC 27541

Phone: 336-364-4074
Fax: 336-364-4074
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for FULLER FAMILY CARE HOME

NPI #	`1881717593`
LBN Legal business name	FULLER FAMILY CARE HOME
Authorized official	MARGARET SPRUILL - (ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/09/2007
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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