Organization
ACUTECARE PACE LUCAS LLC
Active
Other names
BoldAge PACE Lucas County OH, BoldAge PACE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL Y CZERMAK (CAO)
(855) 801-2653
Entity
Organization
Contact information
Practice address
2121 GARDEN LAKE DR, TOLEDO, OH 43614-2776
(855) 801-2653
Mailing address
106 W MOORE AVE STE A, MOORESVILLE, NC 28115-3552
(855) 801-2653
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
04/10/2025
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