Organization
FORTUNE HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATIF S FATTAH (ADMINISTRATOR)
(713) 771-0032
Entity
Organization
Contact information
Practice address
2825 WILCREST DR, STE 312, HOUSTON, TX 77042-3391
(713) 771-0032
(832) 201-6739
Mailing address
2825 WILCREST DR, STE 312, HOUSTON, TX 77042-3391
(713) 771-0032
(832) 201-6739
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
12517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
679727
MEDICARE - HOME HEALTH
TX
Enumeration date
11/09/2006
Last updated
01/30/2019
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