Organization
PACE AT HUDSON HEADWATERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE BOXLEY (VICE PRESIDENT OF FINANCE AND CONTR)
(518) 886-7213
Entity
Organization
Contact information
Practice address
38 LAROSE ST, GLENS FALLS, NY 12801-4025
(518) 886-7213
Mailing address
38 LAROSE ST, GLENS FALLS, NY 12801-4025
(518) 886-7213
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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