Provider Demographics
NPI:1205111747
Name:PATHWAYS OF SW PA, INC
Entity type:Organization
Organization Name:PATHWAYS OF SW PA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-229-0851
Mailing Address - Street 1:190 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4349
Mailing Address - Country:US
Mailing Address - Phone:724-229-0851
Mailing Address - Fax:724-229-9252
Practice Address - Street 1:190 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4349
Practice Address - Country:US
Practice Address - Phone:724-229-0851
Practice Address - Fax:724-229-9252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness