Southport Healthcare LLC
NPI #1285352500 in Kenosha, Wisconsin
Provider Information
- NPI Number
- 1285352500
- Entity Type
- Organization
- Organization Name
- Southport Healthcare LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Aug 22, 2022
- Last Updated
- Dec 19, 2025
Practice Location
Authorized Official
- Name
- AMBER L TUELLER
- Title
- SECRETARY
- Phone
- (208) 207-2726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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