| NPI | 1942478979 |
|---|---|
| Former Legal Business Name | VOANS PACE, INC. |
| Entity Type | Organization |
| Authorized Contact | NANCY GAVIN Assistant Secretary 952-983-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2021-02-05 |