Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eternal Pathway LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1003483447

Eternal Pathway LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11225 N 28th Dr Ste D104
Phoenix, AZ 85029-5609
Phone: (602) 607-5422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1003483447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linette Wilson — Owner/ Manager · (305) 731-6917
NPI enumeratedJune 4, 2021
Last updated in NPPESJune 4, 2021
Certification dateJune 4, 2021
Mailing address11225 N 28th Dr Ste D104, Phoenix, AZ 85029-5609

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