Organization
PEDIPATHWAYS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODY EDWINA WHITE RN BSN (PRESIDENT /CEO)
(617) 774-1350
Entity
Organization
Contact information
Practice address
440 HANCOCK ST UNIT 206, NORTH QUINCY, MA 02171-2442
(617) 774-1350
(617) 774-1355
Mailing address
440 HANCOCK ST UNIT 206, NORTH QUINCY, MA 02171-2442
(617) 774-1350
(617) 774-1355
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
7KR5
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669675310
—
MA
Enumeration date
09/21/2007
Last updated
09/21/2007
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