Organization
PATHEWAY LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA BRACEY (MEMBER)
(404) 934-3352
Entity
Organization
Contact information
Practice address
2942 N 24TH ST STE 210, PHOENIX, AZ 85016-7850
(404) 934-3352
Mailing address
2942 N 24TH ST STE 210, PHOENIX, AZ 85016-7850
(602) 626-5152
(480) 454-7112
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
05/02/2026
Last updated
06/12/2026
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