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Pathways Development LLC

In Home Supportive Care in Greensboro, NC. Organization (NPI-2).

NPI number1336740307
StatusActive
Last updated in NPPESJul 29, 2022

Details

NPI
1336740307
Entity type
Organization (NPI-2)
Legal business name
Pathways Development LLC
Organization subpart
No
Enumeration date
Nov 5, 2020
Certification date
Jul 26, 2022
Last updated
Jul 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
372600000X Adult Companion––
103TA0700X Psychologist, Adult Development & Aging––

Practice location

3411 Martin Ave
Greensboro, NC 27405-3533

Phone 616-334-0686

Mailing address

3411 Martin Ave
Greensboro, NC 27405-3533

Phone 616-334-0686

Authorized official

Johnie Tyler
Owner
6163340686

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