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Organization

PATHWAYS HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KOURTNEY GERHARDT (OWNER)
(386) 405-1050
Entity
Organization

Contact information

Practice address
5497 CARMODY LAKE DR, PORT ORANGE, FL 32128-7484
(386) 405-1050
Mailing address
5497 CARMODY LAKE DR, PORT ORANGE, FL 32128-7484
(386) 405-1050

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/31/2013
Last updated
07/31/2013
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