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NPI Code Detail

MEDICARE: GUIDED PATH SUPPORT SERVICES LLC

MEDICARE: GUIDED PATH SUPPORT SERVICES LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1689526691
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUIDED PATH SUPPORT SERVICES LLC
Provider Business Mailing Address
First Line : 4925 JACKMAN RD STE 3
Second Line :
City : TOLEDO
State : OH
Zip : 43613-3557
Country : US
Telephone Number : 419-665-3631
Fax Number :
Provider Business Practice Location Address
First Line : 4925 JACKMAN RD STE 3
Second Line :
City : TOLEDO
State : OH
Zip : 43613-3557
Country : US
Telephone Number : 419-665-3631
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANGEL HANSARD
Credential :
Telephone Number : 419-665-3631
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “GUIDED PATH SUPPORT SERVICES LLC ” Practice Location

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