NPI 1265293823

Life Coordinated Commonwealth Pace INC

Organisation PACE Provider Organization Benton, KY

Practice location

Address: 201 E 11th St, Benton, KY 42025-1515
Phone: (866) 878-1121
Fax: (855) 868-3271
Mailing address: PO Box 2403, Brentwood, TN 37024-2403

Authorised official

Name: Nancy C Everitt
Title: Ceo
Phone: (615) 376-4677

Registered specialties (2)

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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

Case Management Agency

Agencies Taxonomy 251B00000X

Other Case Management providers in Kentucky →

Registry record

NPI: 1265293823
Entity type: Organization
NPI issued: 22 Jan 2024
Record last updated: 22 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.