Leisure Living Management of Portage, Inc.

NPI #1063724870 in Portage, Michigan

Provider Information

NPI Number
1063724870
Entity Type
Organization
Organization Name
Leisure Living Management of Portage, Inc.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 9, 2010
Last Updated
Jul 9, 2010

Practice Location

Address
7818 KENMURE DR
ZIP Code
49024-5082
Phone
(269) 327-9595

Authorized Official

Name
MR. THOMAS NOBEL
Title
PRESIDENT
Phone
(269) 327-9595

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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