Organization
PATHWAY PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOLANDA PATRICE LONG RN (OWNER)
(251) 554-6288
Entity
Organization
Contact information
Practice address
3906 JOSEPH AVE, MOSS POINT, MS 39563-4121
(228) 285-1840
(228) 285-1840
Mailing address
3906 JOSEPH AVE, MOSS POINT, MS 39563-4121
(228) 285-1840
(228) 285-1840
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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