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Organization
PORTAGE CHOICE HOMES LLC
Active
Organization
PORTAGE CHOICE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY STALNAKER (CEO)
(330) 993-0185
Entity
Organization
Contact information
Practice address
4799 NEW MILFORD RD, RAVENNA, OH 44266-7902
(330) 993-0185
Mailing address
4799 NEW MILFORD RD, RAVENNA, OH 44266-7902
(330) 993-0185
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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