Organization
VALLEY PACE LLC
Active
Other names
BoldAge PACE Fresno
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL Y CZERMAK (CHIEF ADMINISTRATIVE OFFICER)
(855) 801-2653
Entity
Organization
Contact information
Practice address
4837 EAST MCKINLEY AVENUE, FRESNO, CA 93703
(732) 806-3223
(732) 806-3323
Mailing address
106 W MOORE AVE STE A, MOORESVILLE, NC 28115-3552
(732) 806-3223
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
01/06/2026
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