Healthcare Provider Details

I. General information

NPI: 1184598773
Provider Name (Legal Business Name): THE PATHWELL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 MARLBOROUGH DR
BETHLEHEM GA
30620-4729
US

IV. Provider business mailing address

2111 MARLBOROUGH DR
BETHLEHEM GA
30620-4729
US

V. Phone/Fax

Practice location:
  • Phone: 205-296-1122
  • Fax:
Mailing address:
  • Phone: 205-296-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: RAMUS KING
Title or Position: CEO
Credential:
Phone: 205-296-1122