Healthcare Provider Details

I. General information

NPI: 1386824084
Provider Name (Legal Business Name): PATH (PEOPLE ACTING TO HELP), INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2007
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7922 ERDRICK ST
PHILADELPHIA PA
19136-3123
US

IV. Provider business mailing address

1919 COTTMAN AVE
PHILADELPHIA PA
19111-3816
US

V. Phone/Fax

Practice location:
  • Phone: 215-728-4597
  • Fax:
Mailing address:
  • Phone: 215-728-4597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number133130
License Number StatePA

VIII. Authorized Official

Name: MELANIE FITZGIBBON
Title or Position: DIRECTOR OF REVENUE COLLECTIONS
Credential:
Phone: 215-728-4390