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Carla Judith Fuller, LPN
Pediatric Skilled Nursing Facility in Hornell, New York
NPI 1376724211

Carla Judith Fuller is a Pediatric Skilled Nursing Facility based in Belfast, NY and is specialized in Nursing Care, Pediatric. Carla Judith Fuller practices in Hornell, NY and has the professional credentials of LPN. The NPI Number for Carla Judith Fuller is 1376724211 and holds a License No. 217696-1 (New York).

The current practice location address for Carla Judith Fuller is 88 E Main St, Hornell, NY and can be reached out via phone at 585-201-6166.

Location: 88 E Main St, Hornell, NY, 14711-8725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376724211
Provider Name
Carla Judith Fuller
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
88 E Main St, Hornell, NY, 14711-8725
Phone Number
585-201-6166
Fax Number
Provider Enumeration Date
11/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02713931 05 NY
institution
Provider Business Practice Location Address Details
Address
88 E Main St
City
Hornell
State
New York
Zip
14843-2074
Phone Number
585-201-6166
Fax Number
person
Provider Business Mailing Address Details
Address
88 E Main St
City
Hornell
State
New York
Zip
14843-2074
Phone Number
585-201-6166
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
217696-1 (New York)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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