Organization
FULLY CORPORATION
Active
Organization
FULLY CORPORATION
Active
Other names
Faithfulness ,Understanding, Learning & Loving Youth
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PETULA LORAINE GORDON (PROVIDER)
(229) 327-1982
Entity
Organization
Contact information
Practice address
416 JOHNSON RD, CAIRO, GA 39828-8414
(229) 872-3113
(229) 872-3642
Mailing address
PO BOX 57, CALVARY, GA 39829-0057
(229) 872-3113
(229) 872-3642
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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