Provider Demographics
NPI:1922830538
Name:PATHWAY TO EVERYDAY LIFE HUMAN SERVICES INC
Entity type:Organization
Organization Name:PATHWAY TO EVERYDAY LIFE HUMAN SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-468-2898
Mailing Address - Street 1:565 N LAUREL ST APT 1N
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201-5180
Mailing Address - Country:US
Mailing Address - Phone:484-209-9981
Mailing Address - Fax:484-214-0088
Practice Address - Street 1:565 N LAUREL ST APT 1N
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201-5180
Practice Address - Country:US
Practice Address - Phone:484-209-9981
Practice Address - Fax:484-214-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty