Portage Choice Homes LLC

NPI #1003270695 in Ravenna, Ohio

Provider Information

NPI Number: 1003270695
Entity Type: Organization
Organization Name: Portage Choice Homes LLC
Primary Specialty: Home Health
Enumeration Date: Apr 8, 2016
Last Updated: Apr 8, 2016

Practice Location

Address: 4799 NEW MILFORD RD
City: Ravenna
State: Ohio
ZIP Code: 44266-7902
Phone: (330) 993-0185

Authorized Official

Name: KELLY STALNAKER
Title: CEO
Phone: (330) 993-0185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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