Organization
KINSHIP PACE OF TRI-CITIES, LLC
Active
Parent organization
CITIPACE HOLDING COMPANY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITIPACE HOLDING COMPANY, LLC
Authorized official
LISA GARAY (CHIEF EXECUTIVE OFFICER)
(201) 675-5663
Entity
Organization
Contact information
Practice address
2810 W CLEARWATER AVE, KENNEWICK, WA 99336-2963
(727) 417-5819
Mailing address
885 3RD AVE FL 29, NEW YORK, NY 10022-4834
(727) 417-5819
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/21/2025
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