| Porter Starke Services | |
|
3349 Willowcreek Rd Portage IN 46368-5015 | |
| (219) 763-8826 | |
| Not Available |
| Full Name | Porter Starke Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3349 Willowcreek Rd, Portage, Indiana |
| Authorized Official Name and Position | Aileen Wehren (DIRECTOR) |
| Authorized Official Contact | 2194764567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porter Starke Services 3349 Willowcreek Rd Portage IN 46368-5015 Ph: (219) 763-8826 | Porter Starke Services 3349 Willowcreek Rd Portage IN 46368-5015 Ph: (219) 763-8826 |
| NPI Number | 1356677082 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 10/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356677082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Indiana) | Primary |
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