# PATHEWAY LIFE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patheway Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770320970
- **Authorized official:** SOPHIA BRACEY (CEO)
- **Authorized official phone:** (312) 731-2600

## Contact information

- **Practice address:** 3379 PEACHTREE RD NE \# 756, ATLANTA, GA 30326-1031
- **Practice address phone:** (312) 731-2600
- **Mailing address:** 3379 PEACHTREE RD NE \# 756, ATLANTA, GA 30326-1031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 07/15/2024
- **Last updated:** 07/15/2024