Provider Demographics
NPI:1861723199
Name:RIGHT PATH HOME CARE
Entity type:Organization
Organization Name:RIGHT PATH HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:910-844-1001
Mailing Address - Street 1:201A S MAIN ST # A
Mailing Address - Street 2:
Mailing Address - City:MC COLL
Mailing Address - State:SC
Mailing Address - Zip Code:29570-2020
Mailing Address - Country:US
Mailing Address - Phone:910-844-1001
Mailing Address - Fax:910-844-1035
Practice Address - Street 1:201-A S. MAIN ST
Practice Address - Street 2:
Practice Address - City:MCCOLL
Practice Address - State:SC
Practice Address - Zip Code:28570
Practice Address - Country:US
Practice Address - Phone:910-844-1001
Practice Address - Fax:910-844-1035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty