Organization
PATHWAY FOR SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA BLACKWELL (CEO)
(919) 538-7701
Entity
Organization
Contact information
Practice address
2516 N CALLE QUINTO, HUACHUCA CITY, AZ 85616-8204
(919) 538-7701
Mailing address
999 E FRY BLVD STE 313, SIERRA VISTA, AZ 85635-2621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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