| NPI | 1811207889 |
|---|---|
| Doing Business As | IMMANUEL PATHWAYS |
| Entity Type | Organization |
| Authorized Contact | ANDREW J FISHER VP Of Community Operations 402-829-2954 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2013-10-17 |