Fortunate Homes LLC
NPI #1174102032 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1174102032
- Entity Type
- Organization
- Organization Name
- Fortunate Homes LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 6, 2021
- Last Updated
- Sep 11, 2023
Practice Location
- Address
- 6124 LEE AVE N
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55429-2476
- Phone
- (952) 994-5356
Authorized Official
- Name
- SUSAN N OBWAYA
- Title
- CEO/OWNER
- Phone
- (952) 994-5356
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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