Passport Health Holdings, LLC

NPI #1184596074 in Dayton, Ohio

Provider Information

NPI Number: 1184596074
Entity Type: Organization
Organization Name: Passport Health Holdings, LLC
Primary Specialty: Community Health Worker
Enumeration Date: Sep 19, 2025
Last Updated: Sep 19, 2025

Practice Location

Address: 10560 SUCCESS LANE
Address 2: SUITE D
City: Dayton
State: Ohio
ZIP Code: 45458
Phone: (877) 358-8648

Authorized Official

Name: JAUNA SLACK
Title: MEDICAL BILLING SPECIALIST
Phone: (480) 646-9086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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