Provider Demographics
NPI:1144061730
Name:PATHWAYS TO LIVING LLC
Entity type:Organization
Organization Name:PATHWAYS TO LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGEMENT CLIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JESSIKA
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:SMILO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-759-8378
Mailing Address - Street 1:38 HAYES AVE
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06705-2825
Mailing Address - Country:US
Mailing Address - Phone:203-759-8378
Mailing Address - Fax:
Practice Address - Street 1:38 HAYES AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-2825
Practice Address - Country:US
Practice Address - Phone:203-759-8378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care