Mr. Willie Carson Sr.
Mr. Willie Carson Sr. is a Personal Care Attendant in Portage, Indiana. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
2730 Lois St # 1Portage, IN 46368-3532
Phone: (219) 654-3019
Fax: (219) 406-0162
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|---|
| Personal Care Attendant | Taxonomy 3747P1801X |
Record details
| NPI number | 1174311674 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 25, 2025 |
| Last updated in NPPES | April 25, 2025 |
| Certification date | April 25, 2025 |
| Mailing address | 2730 Lois St # 1, Portage, IN 46368-3532 |
Other providers in Portage
-
Latresa Renee Sims
1777 Armstrong St Ste C, Portage, IN 46368 · (219) 841-9166