Organization
PATHWAY 33 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS O'KEITH (OWNER)
(310) 930-0701
Entity
Organization
Contact information
Practice address
2306 HOLLYWOOD DR, STOCKTON, CA 95210-1626
(310) 930-0701
Mailing address
20109 ENSLOW DR, CARSON, CA 90746-3031
(310) 930-0701
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
12/01/2025
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