| NPI | 1396175287 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | VICKI SOWARDS Clinical RN Supervis 888-909-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |