Passport Health Holdings, LLC

NPI #1982403002 in Ashburn, Virginia

Provider Information

NPI Number: 1982403002
Entity Type: Organization
Organization Name: Passport Health Holdings, LLC
Primary Specialty: Community Health Worker
Enumeration Date: Mar 11, 2025
Last Updated: Mar 11, 2025

Practice Location

Address: 42882 TRURO PARISH DR
Address 2: SUITE 206
City: Ashburn
State: Virginia
ZIP Code: 20148
Phone: (877) 358-8648

Authorized Official

Name: JUANA 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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