# PATHWAYS SUPPORTIVE CARE

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

## Provider details

- **NPI number:** 1598584336
- **Authorized official:** TARNESHA AUDRINE SMITH (ADMINISTRATOR)
- **Authorized official phone:** (262) 352-9688

## Contact information

- **Practice address:** 5973 N 83RD ST, MILWAUKEE, WI 53218-1730
- **Practice address phone:** (262) 352-9688
- **Mailing address:** 5973 N 83RD ST, MILWAUKEE, WI 53218-1730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2024
- **Last updated:** 10/08/2024
