Organization
KINSHIP PACE OF INDIANA LLC
Active
Parent organization
CITIPACE HOLDING COMPANY
Other names
Kinship PACE of Indiana - Jeffersonville, Kinship PACE of Indiana - Kokomo
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITIPACE HOLDING COMPANY
Authorized official
JUDY KOHN (INTERIM CEO, CHIEF STRATEGY OFFICER)
(917) 270-0599
Entity
Organization
Contact information
Practice address
1453 E 10TH ST, JEFFERSONVILLE, IN 47130-4204
(570) 371-7371
Mailing address
885 3RD AVE FL 29, NEW YORK, NY 10022-4834
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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