Boldage Pace Kentucky LLC

NPI #1447941802 in Owensboro, Kentucky

Provider Information

NPI Number: 1447941802
Entity Type: Organization
Organization Name: Boldage Pace Kentucky LLC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: May 17, 2023
Last Updated: Aug 14, 2024

Practice Location

Address: 2050 E PARRISH AVE
City: Owensboro
State: Kentucky
ZIP Code: 42303-1448
Phone: (732) 806-3205

Authorized Official

Name: MR. MICHAEL CZERMAK
Title: CHIEF ADMINISTRATIVE OFFICER
Phone: (732) 806-3205

Specialties & Taxonomy Codes

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

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