Life Coordinated Commonwealth Pace INC

NPI #1265293823 in Benton, Kentucky

Provider Information

NPI Number
1265293823
Entity Type
Organization
Organization Name
Life Coordinated Commonwealth Pace INC
Primary Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date
Jan 22, 2024
Last Updated
Jan 22, 2024

Practice Location

Address
201 E 11TH ST
City
Benton
ZIP Code
42025-1515
Phone
(866) 878-1121

Authorized Official

Name
MS. NANCY C EVERITT, PMP
Title
CEO
Phone
(615) 376-4677

Specialties & Taxonomy Codes

Specialty
Case Management
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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