Provider Demographics
NPI:1154445542
Name:PATHWAYS FOR PEOPLE INC
Entity Type:Organization
Organization Name:PATHWAYS FOR PEOPLE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ON-SITE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-462-1663
Mailing Address - Street 1:102 NEW EDITION CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4449
Mailing Address - Country:US
Mailing Address - Phone:919-462-1663
Mailing Address - Fax:919-462-1653
Practice Address - Street 1:102 NEW EDITION CT
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4449
Practice Address - Country:US
Practice Address - Phone:919-462-1663
Practice Address - Fax:919-462-1653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2211251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409522Medicaid