Organization · NPI-2

A Path To A New World LLC

In Home Supportive Care · Phoenix, AZ

NPI number1134744360

StatusActive

Last updated in NPPESJun 12, 2020

Details

NPI: 1134744360
Entity type: Organization (NPI-2)
Legal business name: A Path To A New World LLC
Organization subpart: No
Enumeration date: Jun 12, 2020
Certification date: Jun 12, 2020
Last updated: Jun 12, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
106S00000X	Behavior Technician	–	–
251B00000X	Case Management	–	–
251S00000X	Community/Behavioral Health	–	–
385H00000X	Respite Care	–	–

Practice location

11242 N 19th Ave Ste 24
Phoenix, AZ 85029-4857

Phone 602-535-6001

Mailing address

11242 N 19th Ave Ste 24
Phoenix, AZ 85029-4857

Phone 602-535-6001

Authorized official

Sharika Davidson
Owner
6025356001

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