| NPI | 1235494550 |
|---|---|
| Doing Business As | PASSPORT HEALTH NORTHERN OHIO |
| Entity Type | Organization |
| Authorized Contact | EILEEN KILBANE GORDON Co Owner, Executive Director & Clin 216-295-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN140601) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |