Organization
PATHWAY HAVEN HOMECARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANICE SHAREE WILSON LPN (OWNER & AGENCY DIRECTOR)
(267) 788-7227
Entity
Organization
Contact information
Practice address
225 KINGSTON RD, UPPER DARBY, PA 19082-3906
(267) 788-7227
Mailing address
225 KINGSTON RD, UPPER DARBY, PA 19082-3906
(267) 788-7227
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/19/2025
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