PASSPORT HEALTH HOLDINGS LLC

FAIRLAWN, OH
NPI1972933786
Former Legal Business NamePPH OHIO LLC
Entity TypeOrganization
Authorized ContactPAUL FISHBURN
Chief Operating Officer
480-646-9020
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Additional Taxonomies2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
261Q00000X Clinic/Center
Enumeration Date2013-11-14
Last Update Date2022-04-01
Business Address
PASSPORT HEALTH HOLDINGS LLC
3610 W MARKET STREET SUITE 104
FAIRLAWN, OH 44333-9301
Phone number: 877-358-8648
Mailing Address
PASSPORT HEALTH HOLDINGS LLC
668 N 44TH ST SUITE 100W
PHOENIX, AZ 85008-6507
Phone number: 877-358-8648