Provider Demographics
NPI:1679301782
Name:RIGHT MY PATH
Entity type:Organization
Organization Name:RIGHT MY PATH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KHULEKANI
Authorized Official - Middle Name:TREVOR
Authorized Official - Last Name:MANGOZHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-712-7578
Mailing Address - Street 1:5841 N ROCKINGHAM LN
Mailing Address - Street 2:
Mailing Address - City:MCCORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46055-6021
Mailing Address - Country:US
Mailing Address - Phone:317-712-7578
Mailing Address - Fax:
Practice Address - Street 1:5841 N ROCKINGHAM LN
Practice Address - Street 2:
Practice Address - City:MCCORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46055-6021
Practice Address - Country:US
Practice Address - Phone:317-712-7578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management