Organization
PATHEWAY LIFE
Active
Other names
Apatheway Life
Organization subpart
No
Provider details
NPI number
Authorized official
CHUPAL CRUMP (CEO)
(708) 698-0033
Entity
Organization
Contact information
Practice address
15411 W WADDELL RD STE 102, SURPRISE, AZ 85379-5170
(708) 698-0033
Mailing address
3379 PEACHTREE RD NE STE 756, ATLANTA, GA 30326-1031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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