| Pathway Homes, Inc. | |
|
8411 Arlington Blvd Ste 340 Fairfax VA 22031-4601 | |
| (703) 876-0390 | |
| Not Available |
| Full Name | Pathway Homes, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8411 Arlington Blvd Ste 340, Fairfax, Virginia |
| Authorized Official Name and Position | Sylisa Lambert-woodard (PRESIDENT) |
| Authorized Official Contact | 7038760390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Homes, Inc. 8411 Arlington Blvd Ste 340 Fairfax VA 22031-4601 Ph: (703) 876-0390 | Pathway Homes, Inc. 8411 Arlington Blvd Ste 340 Fairfax VA 22031-4601 Ph: (703) 876-0390 |
| NPI Number | 1689756140 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689756140 | NPI | - | NPPES |
| 004944232 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 121-03-001 (Virginia) | Primary |
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