Organization
PATHWAY SERVICES LLC
Active
Other names
Pathway Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEGA LOT AGACK SR. (DIRECTOR OF OPERATIONS)
(804) 332-7629
Entity
Organization
Contact information
Practice address
696 WESTBROOK ST APT 4G, SOUTH PORTLAND, ME 04106-1969
(804) 332-7629
Mailing address
696 WESTBROOK ST APT 4G, SOUTH PORTLAND, ME 04106-1969
(804) 332-7629
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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