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Organization

LIFES PATH HUMAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHARAZADA S MCMILLAN (CEO)
(484) 274-4661
Entity
Organization

Contact information

Practice address
3645 SWABIA CT, MACUNGIE, PA 18062-8612
(484) 274-4661
(484) 274-4661
Mailing address
3645 SWABIA CT, MACUNGIE, PA 18062-8612
(484) 274-4661
(484) 274-4661

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163WW0000X
Wound Care Registered Nurse
164W00000X
Licensed Practical Nurse
Primary
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
261QP2400X
Prison Health Clinic/Center
310400000X
Assisted Living Facility

Other

Enumeration date
03/30/2026
Last updated
03/30/2026
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