Organization · Type 2 NPI

Fully Corporation

Foster Care Agency · Cairo, GA

NPI number 1689095333 Active

Practice location

416 Johnson Rd
Cairo, GA 39828-8414

Call (229) 872-3113 Map

Fax (229) 872-3642

Mailing address

PO Box 57
Calvary, GA 39829-0057

Specialties and licenses

Taxonomy	Code	License
Foster Care Agency Primary	253J00000X	None listed

Foster Care Agency: A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

NPI record

NPI: 1689095333
Entity type: Organization (Type 2)
Issued: Dec 26, 2013
Last updated: Dec 26, 2013
Status: Active

Other names

<unavail>
Faithfulness ,understanding, Learning & Loving Youth · former legal business name

Authorized official

Mrs. Petula Loraine Gordon
Provider
(229) 327-1982

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689095333

Fully Corporation's National Provider Identifier is 1689095333, issued on Dec 26, 2013. The primary taxonomy on file is Foster Care Agency (253J00000X), and the practice location is in Cairo, GA. The record was last updated on Dec 26, 2013.