Organization
FORTUNATE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN OBWAYA LPN (CEO/OWNER)
(952) 994-5356
Entity
Organization
Contact information
Practice address
5754 33RD AVE S, MINNEAPOLIS, MN 55417-2853
(952) 994-5356
(952) 674-7774
Mailing address
7006 E FISH LAKE RD, MAPLE GROVE, MN 55311-2832
(952) 674-7774
(952) 674-7774
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
09/11/2023
Last updated
09/18/2025
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