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Organization
PATHEWAY LIFE
Active
Organization
PATHEWAY LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA BRACEY (MEMBER)
(404) 934-3352
Entity
Organization
Contact information
Practice address
2942 N 24TH ST STE 108A, PHOENIX, AZ 85016-7849
(602) 626-5152
(602) 899-2362
Mailing address
2942 N 24TH ST STE 108A, PHOENIX, AZ 85016-7849
(602) 626-5152
(602) 899-2362
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
05/02/2026
Last updated
09/28/2026
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