Provider First Line Business Practice Location Address:
PORTER HEALTH SYSTEM
Provider Second Line Business Practice Location Address:
814 LAPORTE AVENUE
Provider Business Practice Location Address City Name:
VALPARAISO
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46383
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-263-4739
Provider Business Practice Location Address Fax Number:
219-263-7144
Provider Enumeration Date:
07/18/2006