# FULTON HOUSES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528932555
- **Authorized official:** STEPHANIE JOHNSON (MEMBER)
- **Authorized official phone:** (319) 573-2891

## Contact information

- **Practice address:** 3315 WILLIAMS BLVD SW \# 2-112, CEDAR RAPIDS, IA 52404-1478
- **Practice address phone:** (319) 573-2891
- **Mailing address:** 3315 WILLIAMS BLVD SW \# 2-112, CEDAR RAPIDS, IA 52404-1478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 332U00000X | Home Delivered Meals | — | NULL | — |

## Other

- **Enumeration date:** 10/02/2025
- **Last updated:** 06/24/2026