PASSPORT HEALTH HOLDINGS LLC

WEST COLUMBIA, SC
NPI1609206564
Former Legal Business NamePPH OHIO LLC
Entity TypeOrganization
Authorized ContactDOUG SHACKELL
Director Of Finance
480-646-9024
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Additional Taxonomies2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
Enumeration Date2013-11-13
Last Update Date2016-07-12
Business Address
PASSPORT HEALTH HOLDINGS LLC
2318-B SUNSET BLVD
WEST COLUMBIA, SC 29169-4716
Phone number: 877-358-8648
Mailing Address
PASSPORT HEALTH HOLDINGS LLC
8324 E HARTFORD DR SUITE 200
SCOTTSDALE, AZ 85255-5466
Phone number: 877-358-8648