PATHWAYS SUPPORTED LIVING NPI 1932922853

NPI Information

  • NPI: 1932922853
  • Provider Name: PATHWAYS SUPPORTED LIVING
  • Classification: Registered Nurse - 163WC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 4575 ALDUN RIDGE AVE NW # 110A
    COMSTOCK PARK, MI
    ZIP 49321
  • Phone: (616) 540-3597

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NPI Details

PATHWAYS SUPPORTED LIVING is a community health registered nurse in Comstock Park, MI. PATHWAYS SUPPORTED LIVING NPI is 1932922853. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4575 ALDUN RIDGE AVE NW # 110A
COMSTOCK PARK, MI
ZIP 49321-012
Phone: (616) 540-3597
Fax: (616) 449-1002

The provider's authorized official is Deanna M Cronk .
The authorized official title is Program Director/ Owner and has the following contact phone number (616) 540-3597.

The enumeration date for this NPI number is 11/7/2024 and was last updated on 11/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC1500XRegistered NurseCommunity HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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