MEDICARE: COMMUNITY PATHWAYS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1154626067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY PATHWAYS INC.

Provider Business Mailing Address
First Line	:	4621 S COOPER ST STE 131348
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5866
Country	:	US
Telephone Number	:	214-701-4471
Fax Number	:

Provider Business Practice Location Address
First Line	:	4621 S COOPER ST STE 131348
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5866
Country	:	US
Telephone Number	:	214-701-4471
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	GODWIN OMANE
Credential	:
Telephone Number	:	214-701-4471

Provider Enumeration Date	:	01/24/2011
Last Update Date	:	01/24/2011

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Directions to “COMMUNITY PATHWAYS INC. ” Practice Location

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