Organization Name: | THE PATHWAY AGENCY |
NPI Number: | 1548626930 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TANAYSA GREEN (CEO) |
Mailing Address: | 1378 Laney Walker Blvd Ste 103 Augusta |
State: | GA US |
Postal Code: | 309012763 |
Phone Number: | 7063732908 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2016 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | RN211924 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |