Provider Demographics
NPI:1396050076
Name:PATHFINDER SERVICES INC
Entity type:Organization
Organization Name:PATHFINDER SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-356-0500
Mailing Address - Street 1:PO BOX 1001
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:46750-1001
Mailing Address - Country:US
Mailing Address - Phone:260-356-0500
Mailing Address - Fax:260-356-1805
Practice Address - Street 1:2033 DUNCAN DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:IN
Practice Address - Zip Code:46750-4501
Practice Address - Country:US
Practice Address - Phone:260-356-7278
Practice Address - Fax:260-356-1805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2622P0021DE08315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities