Healthcare Provider Details
I. General information
NPI: 1376195453
Provider Name (Legal Business Name): PATHFINDERS RESOURCES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2019
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
140 TOWER DR
DANVILLE VA
24540-4185
US
IV. Provider business mailing address
4270 PIEDMONT PKWY STE 101
GREENSBORO NC
27410-8161
US
V. Phone/Fax
- Phone: 434-533-5060
- Fax: 336-860-1660
- Phone: 336-763-5657
- Fax: 336-860-1660
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRACY
WILLIAMS
Title or Position: PARTNER
Credential:
Phone: 910-730-7581