Provider Demographics
NPI:1932892064
Name:PATHWAY HEALTH & WELLNESS, LLC
Entity Type:Organization
Organization Name:PATHWAY HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RASHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-888-6115
Mailing Address - Street 1:PO BOX 25465
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29224-5465
Mailing Address - Country:US
Mailing Address - Phone:843-230-0418
Mailing Address - Fax:
Practice Address - Street 1:8502 TWO NOTCH RD STE J-7
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6307
Practice Address - Country:US
Practice Address - Phone:803-888-6115
Practice Address - Fax:803-745-8325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care