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Organization
FORTUNA ADULT FAMILY HOME LLC
Active
Organization
FORTUNA ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEKDESE BERHANE (OWNER)
(503) 459-9537
Entity
Organization
Contact information
Practice address
2502 NE 110TH AVE, VANCOUVER, WA 98684-4248
(593) 459-9537
Mailing address
2502 NE 110TH AVE, VANCOUVER, WA 98684-4248
(593) 459-9537
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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