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Organization

PATHWAY INTO THE COMMUNITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAYTIA ELLIS (CEO/FOUNDER/OWNER)
(856) 490-8389
Entity
Organization

Contact information

Practice address
1451 CHEWS LANDING RD STE 208, CLEMENTON, NJ 08021-2766
(856) 352-0411
Mailing address
1451 CHEWS LANDING RD STE 208, CLEMENTON, NJ 08021-2766
(856) 352-0411

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251C00000X
Developmentally Disabled Services Day Training Agency
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
Primary
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency
332U00000X
Home Delivered Meals
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
347E00000X
Transportation Broker
385H00000X
Respite Care

Other

Enumeration date
11/22/2020
Last updated
04/21/2023
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