| NPI | 1982754370 |
|---|---|
| Former Legal Business Name | PORT HUMAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHARON WARD ROUNTREE Reimbursement Manger 252-830-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-025-041) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2017-04-03 |