Provider Demographics
NPI:1316123144
Name:FOSTERING EARLY LEARNING INSTITUTE
Entity type:Organization
Organization Name:FOSTERING EARLY LEARNING INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-591-0170
Mailing Address - Street 1:484 ROHNERT PARK EXPY W
Mailing Address - Street 2:
Mailing Address - City:ROHNERT PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94928-7931
Mailing Address - Country:US
Mailing Address - Phone:707-591-0170
Mailing Address - Fax:707-591-0171
Practice Address - Street 1:484 ROHNERT PARK EXPY W
Practice Address - Street 2:
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-7931
Practice Address - Country:US
Practice Address - Phone:707-591-0170
Practice Address - Fax:707-591-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency