| NPI | 1003636408 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | JUANA SLACK Medical Billing Specialist 480-646-9086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |