Organization
PATHEWAY LIFE
Active
Other names
Patheway Life
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA BRACEY (CEO)
(312) 731-2600
Entity
Organization
Contact information
Practice address
3379 PEACHTREE RD NE # 756, ATLANTA, GA 30326-1031
(312) 731-2600
Mailing address
3379 PEACHTREE RD NE # 756, ATLANTA, GA 30326-1031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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