Organization
PORTCARE HOME LLC
Active
Parent organization
PORTCARE HOME LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTCARE HOME LLC
Authorized official
MUXAMED CALI (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
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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