Organization
PASSPORT HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA E. COMSTOCK II (BILLING MANAGER)
(248) 338-1133
Entity
Organization
Contact information
Practice address
1496 N SAGINAW ST, SUITE # 6, LAPEER, MI 48446-1564
(248) 338-1133
Mailing address
2167 ORCHARD LAKE RD, SYLVAN LAKE, MI 48320-1749
(248) 338-1133
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2965362
—
MI
Enumeration date
05/22/2007
Last updated
08/22/2020
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