MRS. Felisha Fuller

NPI #1790389021 in Mauldin, South Carolina

Provider Information

NPI Number: 1790389021
Entity Type: Individual
Name: MRS. Felisha Fuller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Nov 27, 2020
Last Updated: Nov 27, 2020

Practice Location

Address: 66 ENDEAVOR CIR
City: Mauldin
State: South Carolina
ZIP Code: 29662-2451
Phone: (864) 203-9994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X
Respite Care	385H00000X
Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child	385HR2055X
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X
Home Health Aide	374U00000X	Primary

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