| Pathways Home Care, Llc | |
|
5497 Carmody Lake Dr Port Orange FL 32128-7484 | |
| (386) 405-1050 | |
| Not Available |
| Full Name | Pathways Home Care, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5497 Carmody Lake Dr, Port Orange, Florida |
| Authorized Official Name and Position | Kourtney Gerhardt (OWNER) |
| Authorized Official Contact | 3864051050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Home Care, Llc 5497 Carmody Lake Dr Port Orange FL 32128-7484 Ph: (386) 405-1050 | Pathways Home Care, Llc 5497 Carmody Lake Dr Port Orange FL 32128-7484 Ph: (386) 405-1050 |
| NPI Number | 1942632070 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942632070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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