Provider Demographics
NPI:1558783878
Name:FULTON ENTERPRISES
Entity Type:Organization
Organization Name:FULTON ENTERPRISES
Other - Org Name:CARING MATTERS HOME CARE 027
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FULTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-380-0645
Mailing Address - Street 1:829 RELIEZ STATION RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4817
Mailing Address - Country:US
Mailing Address - Phone:925-385-0645
Mailing Address - Fax:925-385-0685
Practice Address - Street 1:829 RELIEZ STATION RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4817
Practice Address - Country:US
Practice Address - Phone:925-385-0645
Practice Address - Fax:925-385-0685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care