# PATHEWAY LIFE

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

## Provider details

- **NPI number:** 1770420135
- **Authorized official:** SOPHIA BRACEY (MEMBER)
- **Authorized official phone:** (404) 934-3352

## Contact information

- **Practice address:** 2942 N 24TH ST STE 108A, PHOENIX, AZ 85016-7849
- **Practice address phone:** (602) 626-5152
- **Practice address fax:** (602) 899-2362
- **Mailing address:** 2942 N 24TH ST STE 108A, PHOENIX, AZ 85016-7849
- **Mailing address phone:** (602) 626-5152
- **Mailing address fax:** (602) 899-2362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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
