Provider Demographics
NPI:1346459203
Name:PATHFINDER ASSOCIATES, INC
Entity Type:Organization
Organization Name:PATHFINDER ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-736-9133
Mailing Address - Street 1:90 SODOM LN
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:CT
Mailing Address - Zip Code:06418-2608
Mailing Address - Country:US
Mailing Address - Phone:203-736-9133
Mailing Address - Fax:203-736-9635
Practice Address - Street 1:90 SODOM LN
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:CT
Practice Address - Zip Code:06418-2608
Practice Address - Country:US
Practice Address - Phone:203-736-9133
Practice Address - Fax:203-736-9635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities