Provider Demographics
NPI:1194168062
Name:FULTON COUNTY GOVERNMENT
Entity type:Organization
Organization Name:FULTON COUNTY GOVERNMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:U
Authorized Official - Last Name:OKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:404-612-9343
Mailing Address - Street 1:186 SUNSET AVE NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30314-4059
Mailing Address - Country:US
Mailing Address - Phone:404-612-9343
Mailing Address - Fax:
Practice Address - Street 1:186 SUNSET AVE NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30314-4059
Practice Address - Country:US
Practice Address - Phone:404-612-9343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN168698313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility