# FUSHION MEDICAL

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

## Provider details

- **NPI number:** 1437440518
- **Authorized official:** MRS. AMY B KUPSTAS (COTA/L)
- **Authorized official phone:** (570) 690-0623

## Contact information

- **Practice address:** 15349 DAVENPORT CIR, OMAHA, NE 68154-2043
- **Practice address phone:** (402) 505-4670
- **Mailing address:** 55 YATES ST, FORTY FORT, PA 18704-4118
- **Mailing address phone:** (570) 690-0623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | OP006778 | PA | Yes |

## Other

- **Enumeration date:** 04/25/2011
- **Last updated:** 04/27/2011