Organization · NPI-2

Fortunate Consultants LLC

Case Management · Maple Grove, MN

NPI number1457175390

StatusActive

Last updated in NPPESNov 7, 2024

Details

NPI: 1457175390
Entity type: Organization (NPI-2)
Legal business name: Fortunate Consultants LLC
Organization subpart: No
Enumeration date: Nov 7, 2024
Certification date: Nov 7, 2024
Last updated: Nov 7, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251B00000X	Case Management	–	–	Yes
251E00000X	Home Health	–	–
251J00000X	Nursing Care	–	–
253Z00000X	In Home Supportive Care	–	–
332B00000X	Durable Medical Equipment & Medical Supplies	–	–

Other names

Fortunate Consultants LLC (Other Name)

Practice location

7006 E Fish Lake Rd
Maple Grove, MN 55311-2832

Phone 952-994-5356 · Fax 952-674-7774

Mailing address

7006 E Fish Lake Rd
Maple Grove, MN 55311-2832

Phone 952-994-5356 · Fax 952-674-7774

Authorized official

Susan Nyang'Anyi Obwaya
Owner/Ceo
9529945356

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