Organization
FAITH FULFILLMENT CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNITA PATEL (CEO)
(404) 396-8888
Entity
Organization
Contact information
Practice address
120 SHADOW LAKE DR, CONYERS, GA 30094-4127
(404) 396-8888
Mailing address
1412 OLD MCDOUNGH RD, CONYERS, GA 30094-4127
(404) 396-8888
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/16/2026
Last updated
04/24/2026
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