ANTOINETTE FULLER
Alzheimer Center
Hampton, Georgia
Provider NPI: 1588991236
Organization Information:Organization Name: ANTOINETTE FULLER
Practice Location:
2024 REGISTRY DR HAMPTON, GA 30228 US
Tel: 678-519-0131 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
2024 REGISTRY DR HAMPTON, GA 30228 US
Tel: 678-519-0131 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | GA | ========= |
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | GA | ========= |
N | 315D00000X | Nursing & Custodial Care Facilities Hospice, Inpatient | GA | ========= |
Y | 3104A0630X | Nursing & Custodial Care Facilities Assisted Living Facility | GA | ========= |