Organization
PORTER PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S. BURNETT (MANAGER)
(810) 603-1393
Entity
Organization
Contact information
Practice address
6191 PORTER RD, GRAND BLANC, MI 48439-8540
(810) 603-1393
(810) 603-1394
Mailing address
6191 PORTER RD, GRAND BLANC, MI 48439-8540
(810) 603-1393
(810) 603-1394
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AF250088873
MI
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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