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Organization

FORTABS HEALTH CARE LLC

Active
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Organization

FORTABS HEALTH CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AJUSEH FORTABOH (OWNER)
(614) 515-9284
Entity
Organization

Contact information

Practice address
120 S KANSAS ST, KENNEWICK, WA 99336-9422
(614) 515-9284
Mailing address
120 S KANSAS ST, KENNEWICK, WA 99336-9422
(614) 515-9284

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
164W00000X
Licensed Practical Nurse
363L00000X
Nurse Practitioner
374U00000X
Home Health Aide
Primary

Other

Enumeration date
07/14/2026
Last updated
07/14/2026
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