Organization
PATHWAYS SUPPORTIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARNESHA AUDRINE SMITH (ADMINISTRATOR)
(262) 352-9688
Entity
Organization
Contact information
Practice address
5973 N 83RD ST, MILWAUKEE, WI 53218-1730
(262) 352-9688
Mailing address
5973 N 83RD ST, MILWAUKEE, WI 53218-1730
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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