Organization
PATHWAY COMMUNITY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYQUAN CARR (PROGRAM DIRECTOR)
(336) 524-3543
Entity
Organization
Contact information
Practice address
1183 UNIVERSITY DR # 105-1031, BURLINGTON, NC 27215-8303
(919) 290-4785
Mailing address
1183 UNIVERSITY DR # 105-1031, BURLINGTON, NC 27215-8303
(919) 290-4785
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
01/02/2026
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