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NPI Code Detail

MEDICARE: PATH OF LIFE MINISTRIES, INC.

MEDICARE: PATH OF LIFE MINISTRIES, 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1588829568
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATH OF LIFE MINISTRIES, INC.
Provider Business Mailing Address
First Line : PO BOX 1445
Second Line :
City : RIVERSIDE
State : CA
Zip : 92502-1445
Country : US
Telephone Number : 951-786-9048
Fax Number : 951-779-2953
Provider Business Practice Location Address
First Line : 2840 HULEN PL
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2606
Country : US
Telephone Number : 951-683-4101
Fax Number : 951-683-4103
Authorized Official
Title or Position : CEO
Name : MRS. CHRIS OBERG
Credential :
Telephone Number : 951-786-9048
Provider Enumeration Date : 07/18/2008
Last Update Date : 03/29/2024

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Directions to “PATH OF LIFE MINISTRIES, INC. ” Practice Location

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