Organization
FORTITUDE HOME HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE GRACE GAVINA LVN (CEO)
(562) 352-6244
Entity
Organization
Contact information
Practice address
520 N BROOKHURST ST STE 134, ANAHEIM, CA 92801-5235
(562) 352-6244
Mailing address
520 N BROOKHURST ST STE 134, ANAHEIM, CA 92801-5235
(562) 352-6244
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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