Organization
FORTUNE416IX, INC.
Active
Other names
Visiting Angels
Organization subpart
No
Provider details
NPI number
Authorized official
AJ PETERS (DIRECTOR)
(209) 541-5326
Entity
Organization
Contact information
Practice address
1231 THIRD AVE STE E, CHULA VISTA, CA 91911-3211
(209) 541-5326
Mailing address
1231 THIRD AVE STE E, CHULA VISTA, CA 91911-3211
(209) 541-5326
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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