Organization
ACUTECARE PACE MONTGOMERY LLC
Active
Other names
BoldAge PACE Montgomery County OH, BoldAge PACE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CZERMAK (CHIEF ADMINISTRATIVE OFFICER)
(855) 801-2653
Entity
Organization
Contact information
Practice address
200 DARUMA PKWY, MORAINE, OH 45439-7909
(732) 806-3205
Mailing address
106 W MOORE AVE STE A, MOORESVILLE, NC 28115-3552
(732) 806-3205
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
04/10/2025
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