Organization · Type 2 NPI
Fortuna Assisted Living LLC
Assisted Living Facility · Fortuna, CA
NPI number
1497973002
Active
Practice location
2401 Redwood Way
Fortuna, CA 95540-3058
Fax (503) 485-1279
Mailing address
PO Box 3006
Salem, OR 97302-0006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Assisted Living Facility | 310400000X | 126801582 (CA) |
| Alzheimer Center (Dementia Center) | 311500000X | 126801852 (CA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1497973002
Fortuna Assisted Living LLC's National Provider Identifier is 1497973002, issued on Apr 22, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fortuna, CA. The record was last updated on Jul 23, 2008.