Organization
PATHWAY HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA S FOWLER (CEO)
(864) 312-6825
Entity
Organization
Contact information
Practice address
355 WOODRUFF RD STE 201, GREENVILLE, SC 29607-3494
(864) 312-6825
(864) 312-6812
Mailing address
355 WOODRUFF RD STE 201, GREENVILLE, SC 29607-3494
(864) 312-6825
(643) 126-8128
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
HPC-0147
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421611
HOSPICE AND PALLIATIVE CARE
SC
01
—
HPC0147
STATE LICENSING FOR HOSPICE IS DEPARTMENT OF HEALTH & ENVIROMENTAL CONTROL
SC
05
—
HSP133
—
SC
Enumeration date
08/09/2011
Last updated
04/21/2021
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