| NPI | 1083003677 |
|---|---|
| Former Legal Business Name | FAMILY & FRIENDS TOGETHER DBA FULLEN ENTERPRISES, LLC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA FULLEN Executive Director 602-694-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ CSA14ADHS0215 1) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |