Type 2 organization · NPI 1003504390
FORTITUDE 611 LLC
251S00000X · QUEEN CREEK, AZ
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 251S00000X | 251S00000X | Primary |
| 320800000X | 320800000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s