Healthcare Provider Details

I. General information

NPI: 1518929850
Provider Name (Legal Business Name): PACE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5171 W WOODMILL DR SUITE 9
WILMINGTON DE
19808-4067
US

IV. Provider business mailing address

5171 W WOODMILL DR SUITE 9
WILMINGTON DE
19808-4067
US

V. Phone/Fax

Practice location:
  • Phone: 302-999-9812
  • Fax: 302-999-9820
Mailing address:
  • Phone: 302-999-9812
  • Fax: 302-999-9820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateDE

VIII. Authorized Official

Name: JANET LYNN RODIA
Title or Position: COO
Credential:
Phone: 610-344-9600