Provider Demographics
NPI:1881052942
Name:FORTUNEWORKS LLC
Entity type:Organization
Organization Name:FORTUNEWORKS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIMON
Authorized Official - Middle Name:M
Authorized Official - Last Name:JOSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:602-466-3686
Mailing Address - Street 1:10000 N 31ST AVE
Mailing Address - Street 2:SUITE D321
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-9582
Mailing Address - Country:US
Mailing Address - Phone:602-466-3686
Mailing Address - Fax:602-338-9197
Practice Address - Street 1:10000 N 31ST AVE
Practice Address - Street 2:SUITE C100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-9582
Practice Address - Country:US
Practice Address - Phone:602-466-3686
Practice Address - Fax:302-388-9197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care