Organization
CONFIENZA FORTUNE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANAY ABENA COLON (CEO)
(914) 310-6089
Entity
Organization
Contact information
Practice address
13348 LAMEL ST, NORTH EDWARDS, CA 93523-3228
(914) 310-6089
Mailing address
13348 LAMEL ST, NORTH EDWARDS, CA 93523-3228
(914) 310-6089
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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