Organization
PORTERS HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TITILOLA OLUWATOSIN ADEWALE ED.D. (ADMINISTRATOR)
(412) 855-0102
Entity
Organization
Contact information
Practice address
8712 NELLIE LN, MARVIN, NC 28173-7944
(980) 729-3366
Mailing address
8712 NELLIE LN, MARVIN, NC 28173-7944
(980) 729-3366
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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