Organization
LIFE PACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY EARL COPELAND (CHIEF FINANCIAL OFFICER)
(918) 938-7606
Entity
Organization
Contact information
Practice address
902 E PINE ST, TULSA, OK 74106-5928
(918) 664-9000
Mailing address
5950 E 31ST ST, TULSA, OK 74135-5114
(918) 664-9000
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
H6941
OK
Other
Enumeration date
01/09/2015
Last updated
11/10/2022
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