Organization
PATHWAYS SUPPORTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA M CRONK RN (PROGRAM DIRECTOR/ OWNER)
(616) 540-3597
Entity
Organization
Contact information
Practice address
4575 ALDUN RIDGE AVE NW # 110A, COMSTOCK PARK, MI 49321-9012
(616) 540-3597
(616) 449-1002
Mailing address
6250 ROYALTON DR SE, CALEDONIA, MI 49316-8067
(616) 540-3597
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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