Organization
COMMUNITY PACE AT HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON LEESTMA (EXECUTIVE DIRECTOR)
(231) 652-4618
Entity
Organization
Contact information
Practice address
231 W PINE LAKE DR, NEWAYGO, MI 49337-9264
(616) 617-7565
Mailing address
231 W PINE LAKE DR, NEWAYGO, MI 49337-9264
(616) 617-7565
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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