LIFE COORDINATED COMMONWEALTH PACE INC

BENTON, KY
NPI1265293823
Entity TypeOrganization
Authorized ContactNANCY C EVERITT
CEO
615-376-4677
Organization Subpart ?No
Primary Taxonomy251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Additional Taxonomies251B00000X Case Management
Enumeration Date2024-01-22
Last Update Date2024-01-22
Business Address
LIFE COORDINATED COMMONWEALTH PACE INC
201 E 11TH ST
BENTON, KY 42025-1515
Phone number: 866-878-1121
Mailing Address
LIFE COORDINATED COMMONWEALTH PACE INC
PO BOX 2403
BRENTWOOD, TN 37024-2403
Phone number: 615-376-4677