| NPI | 1154571180 |
|---|---|
| Doing Business As | NORTHWEST HEALTH-PORTER |
| Entity Type | Organization |
| Authorized Contact | PUALA M LALOR Director/Delegated Official 629-215-3953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: IN 07-0050331) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2021-04-20 |