# LIFES PATH HUMAN SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114867199
- **Authorized official:** MS. SHARAZADA S MCMILLAN (CEO)
- **Authorized official phone:** (484) 274-4661

## Contact information

- **Practice address:** 3645 SWABIA CT, MACUNGIE, PA 18062-8612
- **Practice address phone:** (484) 274-4661
- **Practice address fax:** (484) 274-4661
- **Mailing address:** 3645 SWABIA CT, MACUNGIE, PA 18062-8612
- **Mailing address phone:** (484) 274-4661
- **Mailing address fax:** (484) 274-4661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QP2400X | Prison Health Clinic/Center | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/30/2026
- **Last updated:** 03/30/2026
