MEDICARE: FULLCARE HOME HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1265851844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FULLCARE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	1400 8TH ST
Second Line	:
City	:	BAY CITY
State	:	TX
Zip	:	77414-4962
Country	:	US
Telephone Number	:	281-570-7397
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 8TH ST
Second Line	:	B4
City	:	BAY CITY
State	:	TX
Zip	:	77414-4962
Country	:	US
Telephone Number	:	281-570-7397
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. FOLASADE FLORENCE ADEYEYE
Credential	:
Telephone Number	:	281-570-7397

Provider Enumeration Date	:	04/10/2014
Last Update Date	:	03/26/2015

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Directions to “FULLCARE HOME HEALTH, INC. ” Practice Location

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