Pathway Personal Care Home
Assisted Living Facility in Moss Point, MS. Organization (NPI-2).
NPI number1649675729
StatusActive
Last updated in NPPESOct 30, 2014
Details
- NPI
- 1649675729
- Entity type
- Organization (NPI-2)
- Legal business name
- Pathway Personal Care Home
- Organization subpart
- No
- Enumeration date
- Oct 30, 2014
- Last updated
- Oct 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
3906 Joseph AveMoss Point, MS 39563-4121
Phone 228-285-1840 · Fax 228-285-1840
Mailing address
3906 Joseph AveMoss Point, MS 39563-4121
Phone 228-285-1840 · Fax 228-285-1840
Authorized official
Yolanda Patrice Long
Owner
2515546288
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