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Organization
PACE COMMUNITY ACTION AGENCY, INC.
Active
Organization
PACE COMMUNITY ACTION AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERTHA AKIDA PROCTOR (EXECUTIVE DIRECTOR)
(812) 882-7927
Entity
Organization
Contact information
Practice address
715 WABASH AVE, VINCENNES, IN 47591-3216
(812) 882-6069
(812) 886-5307
Mailing address
525 N 4TH ST, VINCENNES, IN 47591-1444
(812) 882-6069
(812) 886-5307
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100155290A
—
IN
Enumeration date
11/15/2006
Last updated
06/23/2008
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