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Organization

PEDIPATHWAYS,INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELODY EDWINA WHITE RN (PRESIDENT / CEO)
(617) 774-1350
Entity
Organization

Contact information

Practice address
440 HANCOCK ST UNIT 206, NORTH QUINCY, MA 02171-2442
(617) 774-1355
Mailing address
440 HANCOCK ST UNIT 206, NORTH QUINCY, MA 02171-2442
(617) 774-1355

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669675310
MA
Enumeration date
10/31/2007
Last updated
10/31/2007
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