MEDICARE: PATHWAYS TO HOUSING, 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1255581013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAYS TO HOUSING, INC.

Provider Business Mailing Address
First Line	:	4040 MARKET ST
Second Line	:	SUITE 320
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-3003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 MARKET ST
Second Line	:	SUITE 320
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-3003
Country	:	US
Telephone Number	:	215-390-1500
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	CHRISTINE SIMIRIGLIA
Credential	:
Telephone Number	:	215-390-1500

Provider Enumeration Date	:	09/29/2008
Last Update Date	:	09/29/2008

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