Life Coordinated Commonwealth Pace INC

NPI #1487476636 in Benton, Kentucky

Provider Information

NPI Number
1487476636
Entity Type
Organization
Organization Name
Life Coordinated Commonwealth Pace INC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 29, 2024
Last Updated
Oct 29, 2024

Practice Location

Address
201 E 11TH ST
City
Benton
ZIP Code
42025-1515
Phone
(855) 209-5451

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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