Organization
ALLCARE PACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TWILA FARRIS (CHIEF EXECUTIVE OFFICER)
(541) 471-4106
Entity
Organization
Contact information
Practice address
2166 NW VINE ST, GRANTS PASS, OR 97526-8413
(541) 471-4106
Mailing address
1701 NE 7TH ST, GRANTS PASS, OR 97526-1319
(541) 471-4106
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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