Jack Porter is a Private Vehicle based in Mansfield, OH. Jack Porter practices in Mansfield, OH. The NPI Number for Jack Porter is 1356129563 and holds a License No. (Ohio).
The current practice location address for Jack Porter is 1634 Helena Dr, Mansfield, OH and can be reached out via phone at 419-543-6853.
Location: 1634 Helena Dr, Mansfield, OH, 44904-1817
Provider Profile Details
NPI Number
1356129563
Provider Name
Jack Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
1634 Helena Dr, Mansfield, OH, 44904-1817
Phone Number
419-543-6853
Fax Number
Provider Enumeration Date
09/19/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1634 Helena Dr
City
State
Zip
44904-1817
Phone Number
419-543-6853
Fax Number
Provider Business Mailing Address Details
Address
1634 Helena Dr
City
State
Zip
44904-1817
Phone Number
419-543-6853
Fax Number
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
UT015692 (Ohio)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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