NPI 1003466202

Pace of Northeast Indiana

Organisation PACE Provider Organization Fort Wayne, IN

Practice location

Address: 2927 Lake Ave, Fort Wayne, IN 46805-5415
Phone: (260) 745-1200
Mailing address: 8101 W Jefferson Blvd, Fort Wayne, IN 46804-4163

Authorised official

Name: Aaron L Shapiro
Title: Cfo
Phone: (260) 745-1200

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Indiana →

Registry record

NPI: 1003466202
Entity type: Organization
NPI issued: 19 Sep 2019
Record last updated: 19 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.