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NPI Code Detail

MEDICARE: FORTITUDE CARE MANAGEMENT, LLC

MEDICARE: FORTITUDE CARE MANAGEMENT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1598237745
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORTITUDE CARE MANAGEMENT, LLC
Provider Business Mailing Address
First Line : 1415 CARDINAL HL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78260-3557
Country : US
Telephone Number : 210-200-8502
Fax Number : 210-200-5161
Provider Business Practice Location Address
First Line : 1415 CARDINAL HL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78260-3557
Country : US
Telephone Number : 210-200-8502
Fax Number : 210-200-5161
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. EDDIE ZUNIGA
Credential :
Telephone Number : 210-200-8502
Provider Enumeration Date : 12/28/2018
Last Update Date : 12/28/2018

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Directions to “FORTITUDE CARE MANAGEMENT, LLC ” Practice Location

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