| Pathway Living Center, Inc | |
|
562 2nd Ave S Clinton IA 52732 | |
| (563) 242-3687 | |
| (563) 242-9319 |
| Full Name | Pathway Living Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 562 2nd Ave S, Clinton, Iowa |
| Authorized Official Name and Position | Melissa Mary Peterson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5632423687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Living Center, Inc P.o. Box 1896 Clinton IA 52733-1896 Ph: (563) 242-3687 | Pathway Living Center, Inc 562 2nd Ave S Clinton IA 52732 Ph: (563) 242-3687 |
| NPI Number | 1821218983 |
|---|---|
| Provider Enumeration Date | 04/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821218983 | NPI | - | NPPES |
| 0423400 | Medicaid | IA | |
| 0231548 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Iowa) | Primary |
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