Individual
MR. HENRY PORTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 SUES LN, SYMSONIA, KY 42082-9466
(270) 349-7700
Mailing address
30 SUES LN, SYMSONIA, KY 42082-9466
(270) 349-7700
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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