MEDICARE: FORTUNEWORKS 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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1679940241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORTUNEWORKS LLC

Provider Business Mailing Address
First Line	:	11225 N 28TH DR STE A204
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-5631
Country	:	US
Telephone Number	:	602-466-3686
Fax Number	:	602-325-8874

Provider Business Practice Location Address
First Line	:	11225 N 28TH DR STE A204
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-5631
Country	:	US
Telephone Number	:	602-466-3686
Fax Number	:	602-338-9196

Authorized Official
Title or Position	:	ADMINISTRATOR/PRESIDENT
Name	:	FELIMON M JOSON
Credential	:
Telephone Number	:	602-466-3686

Provider Enumeration Date	:	08/29/2015
Last Update Date	:	06/01/2023

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Directions to “FORTUNEWORKS LLC ” Practice Location

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