West Baltimore Pace Community Coalition, LLC

NPI #1023870284 in Baltimore, Maryland

Provider Information

NPI Number: 1023870284
Entity Type: Organization
Organization Name: West Baltimore Pace Community Coalition, LLC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Jan 24, 2024
Last Updated: Jan 24, 2024

Practice Location

Address: 3201A TIOGA PKWY STE A
City: Baltimore
State: Maryland
ZIP Code: 21215-7987
Phone: (443) 961-0796

Authorized Official

Name: JOHN BILLINGSLEY
Title: CHIEF ADMINISTRATION OFFICER
Phone: (617) 594-7753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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