Organization · NPI-2
Fortune Care INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Glen Burnie, MD
NPI number1053289801
StatusActive
Last updated in NPPESOct 24, 2025
Details
- NPI
- 1053289801
- Entity type
- Organization (NPI-2)
- Legal business name
- Fortune Care INC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2025
- Certification date
- Oct 24, 2025
- Last updated
- Oct 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
7532 Stonehouse Run DrGlen Burnie, MD 21060-8468
Phone 443-876-2642
Mailing address
7532 Stonehouse Run DrGlen Burnie, MD 21060-8468
Phone 443-876-2642
Authorized official
Adeyemi Samuel Alabi
President
4438762642
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