Organization
FORTUNATE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN N OBWAYA (CEO/OWNER)
(952) 994-5356
Entity
Organization
Contact information
Practice address
6124 LEE AVE N, BROOKLYN CENTER, MN 55429-2476
(952) 994-5356
(952) 674-7774
Mailing address
10875 131ST AVE N, CHAMPLIN, MN 55316-1139
(952) 674-7774
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
09/11/2023
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