# FORTABS HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225958754
- **Authorized official:** AJUSEH FORTABOH (OWNER)
- **Authorized official phone:** (614) 515-9284

## Contact information

- **Practice address:** 120 S KANSAS ST, KENNEWICK, WA 99336-9422
- **Practice address phone:** (614) 515-9284
- **Mailing address:** 120 S KANSAS ST, KENNEWICK, WA 99336-9422
- **Mailing address phone:** (614) 515-9284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/16/2026
- **Last updated:** 07/16/2026