Organization
PATHWAY HABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET MIKURO (DIRECTOR)
(940) 223-0882
Entity
Organization
Contact information
Practice address
6119 UPPER MONTAGUE RD, BOWIE, TX 76230-6881
(940) 223-0882
Mailing address
6119 UPPER MONTAGUE RD, BOWIE, TX 76230-6881
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/24/2024
Last updated
03/26/2025
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