Organization
PORTER COMPANION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILAGRO PORTER (PRESIDENT)
(813) 407-3971
Entity
Organization
Contact information
Practice address
9613 ORANGE JASMINE WAY, TAMPA, FL 33647-3020
(813) 407-3971
Mailing address
9613 ORANGE JASMINE WAY, TAMPA, FL 33647-3020
(813) 407-3971
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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