Organization
PATHFINDERS FOR INDEPENDENCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERYL R BROWN (PRESIDENT/EXECUTIVE DIRECTOR)
(813) 949-4313
Entity
Organization
Contact information
Practice address
18418 TIMBERLAN DR, LUTZ, FL 33549-5829
(813) 949-4313
Mailing address
18418 TIMBERLAN DR, LUTZ, FL 33549-5829
(813) 949-4313
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
253Z00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681878196
—
FL
05
—
681878198
—
FL
Enumeration date
10/27/2010
Last updated
10/27/2010
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