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Stanley Fuller
Adult Care Home Facility in Fremont, Ohio
NPI 1073795423

Stanley Fuller is an Adult Care Home Facility based in Fremont, OH and is specialized in Adult Care Home. Stanley Fuller practices in Fremont, OH. The NPI Number for Stanley Fuller is 1073795423 and holds a License No. PN 102037 (Ohio).

The current practice location address for Stanley Fuller is 117 N Wayne St, Fremont, OH and can be reached out via phone at 419-307-2984.

Location: 117 N Wayne St, Fremont, OH, 43420-2431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073795423
Provider Name
Stanley Fuller
Credential
Provider Entity Type
Organization
Address
117 N Wayne St, Fremont, OH, 43420-2431
Phone Number
419-307-2984
Fax Number
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
117 N Wayne St
City
Fremont
State
Ohio
Zip
43420-2431
Phone Number
419-307-2984
Fax Number
person
Provider Business Mailing Address Details
Address
117 N Wayne St
City
Fremont
State
Ohio
Zip
43420-2431
Phone Number
419-307-2984
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
PN 102037 (Ohio)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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