Organization
PACE ASSISTIVE TECHNOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY PACE (OWNER)
(504) 201-5074
Entity
Organization
Contact information
Practice address
3051 HYMAN PL, NEW ORLEANS, LA 70131-5245
(504) 201-5074
Mailing address
1801 MANHATTAN BLVD STE J-263, HARVEY, LA 70058-7300
(504) 201-5074
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413422
—
LA
Enumeration date
08/22/2022
Last updated
08/22/2022
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