Organization
BOLDAGE PACE INDIANA LLC
Active
Other names
Heartland PACE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL Y CZERMAK (CAO)
(732) 608-1975
Entity
Organization
Contact information
Practice address
700 E WALNUT ST, EVANSVILLE, IN 47713-2561
(732) 806-3223
(732) 806-3323
Mailing address
106 W MOORE AVE, SUITE A, MOORESVILLE, NC 28115
(732) 806-3223
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
09/02/2025
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