Healthcare Provider Details
I. General information
NPI: 1710069786
Provider Name (Legal Business Name): PACE HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/19/2006
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1705 WOODLAND DR STE 204A
SALINE MI
48176-1606
US
IV. Provider business mailing address
3840 PACKARD ST STE 200B
ANN ARBOR MI
48108-2280
US
V. Phone/Fax
- Phone: 419-843-4422
- Fax:
- Phone: 419-843-4422
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSH
A.
ADAMS
Title or Position: CEO
Credential:
Phone: 419-843-4422