Fortuna Assisted Living LLC
Organization Active NPI Assisted Living Facility · Fortuna, CA
NPI 1497973002 · NPPES record last updated Jul 23, 2008
Key facts
- NPI
- 1497973002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- FORTUNA ASSISTED LIVING LLC
- Practice address
- 2401 Redwood Way
Fortuna, CA 95540-3058 - Phone
- (707) 726-0111
- Fax
- (503) 485-1279
- NPI assigned
- Apr 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Jon M Harder
- Title
- Manager
- Phone
- (503) 375-9016
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes | ||
| Assisted Living Facility | 310400000X | 126801582 | CA | |
| Alzheimer Center (Dementia Center) | 311500000X | 126801852 | CA |
Addresses
Primary practice location
2401 Redwood Way
Fortuna, CA 95540-3058
Mailing address
PO Box 3006
Salem, OR 97302-0006
Phone (503) 485-8697
Other names
- Sequoia Springs Assisted Living Community
Other providers in Fortuna, CA
- Family Foot Care Specialist Podiatry Center
- Family Foot Care Specialists Podiatry Center Inc
- Neal E Feuerman
- Ana Fernanda Fierro
- Amber Ford
- Fortuna Chiropractic LLC
- Fortuna Elementary School District
- Fortuna Family Medical Group Inc
- Fortuna Family Medicine Inc.
- Fortuna Pharmacy Inc
All providers in Fortuna, CA · Assisted Living Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.