| Organization Name: | PASSERELL ENTERPRISES, INC |
| NPI Number: | 1073935961 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANN M. PASSERELL (OWNER/PRESIDENT) |
| Mailing Address: | 3812 Pearl Rd. Suite #17 Medina |
| State: | OH US |
| Postal Code: | 44256 |
| Phone Number: | 3307226444 |
| Fax Number: | 3307224334 |
| NPI Enumeration Date: | 01/10/2014 |
| NPI Last Update Date: | 01/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |