NPI 1447941802

Boldage Pace Kentucky LLC

Organisation PACE Provider Organization Owensboro, KY

Practice location

Address: 2050 E Parrish Ave, Owensboro, KY 42303-1448
Phone: (732) 806-3205
Mailing address: 112 Exmore Road Suite 3, Mooresville, NC 28117

Authorised official

Name: Micheal Y Czermak
Title: Chief Administrative Officer
Phone: (855) 801-2653

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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

Registry record

NPI: 1447941802
Entity type: Organization
NPI issued: 17 May 2023
Record last updated: 28 May 2026

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.