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Mrs. Lori Kim Fuller
Physical Disabilities Residential Treatment Facility in Bartlesville, Oklahoma
NPI 1578680633

Lori Kim Fuller is a Physical Disabilities Residential Treatment Facility based in Bartlesville, OK. Lori Kim Fuller practices in Bartlesville, OK. The NPI Number for Lori Kim Fuller is 1578680633 and holds a License No. (Oklahoma).

The current practice location address for Lori Kim Fuller is 2262 County Road 3007, Bartlesville, OK and can be reached out via phone at 918-336-6616.

Location: 2262 County Road 3007, Bartlesville, OK, 74003-1304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578680633
Provider Name
Lori Kim Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
2262 County Road 3007, Bartlesville, OK, 74003-1304
Phone Number
918-336-6616
Fax Number
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2262 County Road 3007
City
Bartlesville
State
Oklahoma
Zip
74003-1304
Phone Number
918-336-6616
Fax Number
person
Provider Business Mailing Address Details
Address
2262 County Road 3007
City
Bartlesville
State
Oklahoma
Zip
74003-1304
Phone Number
918-336-6616
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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