NPI:
1588991236
Provider Name:
ANTOINETTE FULLER
Other Name: PLACE CALL HOME PERSONAL CARE HOME
Classification:
Assisted Living Facility - 3104A0630X
Entity Type:
Organization
Specialization: Assisted Living, Behavioral Disturbances
Address:
2024 REGISTRY DR
HAMPTON, GA
ZIP 30228
Phone:
(678) 519-0131
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ANTOINETTE FULLER is an assisted living and behavioral disturbances assisted living facility in Hampton, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. ANTOINETTE FULLER NPI is 1588991236. The provider is registered as an organization entity type.
The provider Other Name Is Place Call Home Personal Care Home.
The provider's business location address is:
2024 REGISTRY DR
HAMPTON, GA
ZIP 30228-396
Phone: (678) 519-0131
The provider's authorized official is Antoinette Fuller .
The authorized official title is Owner Operator and has the following contact phone number (678) 519-0131.
The enumeration date for this NPI number is 11/17/2009 and was last updated on 7/21/2022.