NPI 1023870284
West Baltimore Pace Community Coalition, LLC
Practice location
- Address
- 3201a Tioga Pkwy STE a, Baltimore, MD 21215-7987
- Phone
- (443) 961-0796
- Fax
- (443) 961-0797
Authorised official
- Name
- John Billingsley
- Title
- Chief Administration Officer
- Phone
- (617) 594-7753
Registered specialties
PACE Provider Organization
Primary
Registry record
- NPI
- 1023870284
- Entity type
- Organization
- NPI issued
- 24 Jan 2024
- Record last updated
- 24 Jan 2024
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.