Organization
LAPORTE COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY MANCUSO (ADMINISTRATOR)
(219) 326-6808
Entity
Organization
Contact information
Practice address
809 STATE ST, SUITE 401A, LA PORTE, IN 46350-3385
(219) 326-6808
(219) 325-8628
Mailing address
809 STATE STREET, SUITE 401A, LAPORTE, IN 46350-3385
(219) 326-6808
(219) 325-8628
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
251K00000X
IN
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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