Portage Opco, LLC

NPI #1497152565 in Portage, Michigan

Provider Information

NPI Number
1497152565
Entity Type
Organization
Organization Name
Portage Opco, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 4, 2014
Last Updated
Jul 17, 2015

Practice Location

Address
7855 CURRIER DR
ZIP Code
49002-4314
Phone
(269) 323-7748

Authorized Official

Name
MR. STACEY PAUL ROGERS
Title
CHIEF FINANCIAL OFFICER
Phone
(502) 429-8062

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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