MEDICARE: EMPOWERED PATHWAYS HOUSING INITIATIVE CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251K00000X	Public Health or Welfare Agency
2	251V00000X	Voluntary or Charitable Agency
3	251X00000X	Supports Brokerage Agency
4	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1548107170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERED PATHWAYS HOUSING INITIATIVE CORP

Provider Business Mailing Address
First Line	:	1344 DEUTZ DR
Second Line	:
City	:	LOCUST GROVE
State	:	GA
Zip	:	30248-1107
Country	:	US
Telephone Number	:	404-901-8273
Fax Number	:

Provider Business Practice Location Address
First Line	:	1344 DEUTZ DR
Second Line	:
City	:	LOCUST GROVE
State	:	GA
Zip	:	30248-1107
Country	:	US
Telephone Number	:	404-901-8273
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHARLES R DUNN JR.
Credential	:
Telephone Number	:	404-901-8273

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/01/2026

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Directions to “EMPOWERED PATHWAYS HOUSING INITIATIVE CORP ” Practice Location

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