Provider Demographics
NPI:1750757175
Name:FAMILY PATHWAYS INCORPORATED
Entity type:Organization
Organization Name:FAMILY PATHWAYS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JOHNSON BARSNESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-381-6516
Mailing Address - Street 1:PO BOX 1208
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-5208
Mailing Address - Country:US
Mailing Address - Phone:715-381-6516
Mailing Address - Fax:715-381-7256
Practice Address - Street 1:215 W CANYON DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-7720
Practice Address - Country:US
Practice Address - Phone:715-381-6516
Practice Address - Fax:715-381-7256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health