| Fortune Healthcare Inc. | |
|
6321 Greenbelt Rd Berwyn Heights MD 20740-2352 | |
| (202) 714-7526 | |
| (301) 249-9627 |
| Full Name | Fortune Healthcare Inc. |
|---|---|
| Speciality | Nursing Care |
| Location | 6321 Greenbelt Rd, Berwyn Heights, Maryland |
| Authorized Official Name and Position | Obelebra Briggs (ADMINISTRATOR/CEO) |
| Authorized Official Contact | 2027147526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortune Healthcare Inc. 6321 Greenbelt Rd Berwyn Heights MD 20740-2352 Ph: (202) 714-7526 | Fortune Healthcare Inc. 6321 Greenbelt Rd Berwyn Heights MD 20740-2352 Ph: (202) 714-7526 |
| NPI Number | 1801322664 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801322664 | NPI | - | NPPES |
| 4237609-00 | Other | MD | CFC/CO/CPAS |
| R3778 | Other | MD | RESIDENTIAL SERVICE AGENCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4237609-00 (Maryland) | Secondary |
| 251J00000X | Nursing Care | R3778 (Maryland) | Primary |
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