Organization
PASSPORT HOMECARE, INC
Active
Organization
PASSPORT HOMECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA E COMSTOCK (BILLING / ADMINISTRATIVE MANAGER)
(248) 343-6985
Entity
Organization
Contact information
Practice address
2611 WOODCREEK LN, DAVISBURG, MI 48350-2140
(248) 343-6985
(248) 328-8065
Mailing address
2611 WOODCREEK LN, DAVISBURG, MI 48350-2140
(248) 343-6985
(248) 328-8065
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2965362
—
MI
01
—
540F31023
BLUE CROSS OF MI
MI
Enumeration date
09/22/2005
Last updated
07/21/2022
Update your record
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