Organization
PORTAGE INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP MILLER (CEO)
(330) 296-3996
Entity
Organization
Contact information
Practice address
785 N FREEDOM ST, RAVENNA, OH 44266-2469
(330) 839-8671
Mailing address
7008 STATE ROUTE 88, RAVENNA, OH 44266-9188
(330) 296-3996
(330) 296-8875
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
3008051
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3008051
—
OH
Enumeration date
09/16/2016
Last updated
09/16/2016
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