Pennsylvania Pace, Inc.

NPI #1265584833 in Johnstown, Pennsylvania

Provider Information

NPI Number: 1265584833
Entity Type: Organization
Organization Name: Pennsylvania Pace, Inc.
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Jan 17, 2007
Last Updated: Sep 26, 2016

Practice Location

Address: 401 BROAD ST
City: Johnstown
State: Pennsylvania
ZIP Code: 15906-2716
Phone: (814) 535-6000

Authorized Official

Name: MR. HERBERT H HENNELL
Title: DIRECTOR OF REIMBURSEMENT
Phone: (412) 963-9150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Day Care — Adult Day Care	261QA0600X
In Home Supportive Care	253Z00000X
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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