Organization
PORTAGE CARE LIVING LLC
Active
Organization
PORTAGE CARE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIA NOUR (MANAGER)
(612) 300-4685
Entity
Organization
Contact information
Practice address
822 W PLEASANT ST, PORTAGE, WI 53901-1928
(612) 300-4685
Mailing address
822 W PLEASANT ST, PORTAGE, WI 53901-1928
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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