Organization
FRAGMENTS MINISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD LEON CLOUD MINISTER (EXECUTIVE DIRECTOR)
(678) 598-0651
Entity
Organization
Contact information
Practice address
635 PEARCE ST SW, ATLANTA, GA 30310-2829
(404) 755-3237
(404) 755-3237
Mailing address
5793 JAMES RD, AUSTELL, GA 30168-4505
(678) 598-0651
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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