| NPI | 1649317736 |
|---|---|
| Doing Business As | WESTPORT MEDICAL |
| Entity Type | Organization |
| Authorized Contact | CURTIS WIGGINS Owner 502-425-4726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-08-19 |