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Patheway Life

Home Health in Surprise, AZ. Organization (NPI-2).

NPI number1558190819
StatusActive
Last updated in NPPESJul 26, 2024

Details

NPI
1558190819
Entity type
Organization (NPI-2)
Legal business name
Patheway Life
Organization subpart
No
Enumeration date
Jul 26, 2024
Certification date
Jul 19, 2024
Last updated
Jul 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
251J00000X Nursing Care––
253Z00000X In Home Supportive Care––
343900000X Non-emergency Medical Transport (VAN)––
385H00000X Respite Care––

Other names

  • Apatheway Life (Doing Business As)

Practice location

15411 W Waddell Rd Ste 102
Surprise, AZ 85379-5170

Phone 708-698-0033

Mailing address

3379 Peachtree Rd Ne Ste 756
Atlanta, GA 30326-1031

Authorized official

Chupal Crump
Ceo
7086980033

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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