# PROSPERITY PATHWAYS FOUNDATION INC

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

## Provider details

- **NPI number:** 1275334278
- **Authorized official:** ANISSA LEE MCGARY (PRESIDENT)
- **Authorized official phone:** (678) 617-2062

## Contact information

- **Practice address:** 750 FOREST PARK LN, SUWANEE, GA 30024-2583
- **Practice address phone:** (678) 617-2062
- **Mailing address:** PO BOX 491823, LAWRENCEVILLE, GA 30049-0031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | — |

## Other

- **Enumeration date:** 03/24/2025
- **Last updated:** 03/24/2025
