Organization
PORTAGE HEALTH HOME SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BOGAN (BOARD PRESIDENT)
(906) 483-1170
Entity
Organization
Contact information
Practice address
200 MICHIGAN ST STE 328, HANCOCK, MI 49930-1448
(906) 483-1170
(906) 487-7487
Mailing address
200 MICHIGAN ST STE 328, HANCOCK, MI 49930-1448
(906) 483-1170
(906) 487-7487
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/11/2007
Last updated
06/18/2019
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