NPI 1881930055

Mountain Empire Older Citzens Pace

Organisation PACE Provider Organization Big Stone Gap, VA

Practice location

Address: 1508 3rd Ave East, Big Stone Gap, VA 24219-0888
Phone: (276) 523-0599
Fax: (276) 523-4690
Mailing address: PO Box 888, Big Stone Gap, VA 24219-0888

Authorised official

Name: Tony Lawson
Title: Director
Phone: (276) 523-0599

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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

Registry record

NPI: 1881930055
Entity type: Organization
NPI issued: 17 Dec 2012
Record last updated: 3 Jun 2022

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.