Provider Demographics
NPI:1306694237
Name:CONNECT FORTUNE STAFFING AGENCY LLC
Entity type:Organization
Organization Name:CONNECT FORTUNE STAFFING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-394-2640
Mailing Address - Street 1:RENTON TRITON TOWERS, 707 S.GRADY WAY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057
Mailing Address - Country:US
Mailing Address - Phone:425-394-2640
Mailing Address - Fax:
Practice Address - Street 1:RENTON TRITON TOWERS, 707 S.GRADY WAY
Practice Address - Street 2:SUITE 600
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057
Practice Address - Country:US
Practice Address - Phone:425-394-2640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care