| NPI | 1619394335 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAUL FISHBURN Chief Operating Officer 480-646-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2022-04-01 |