Organization
PACE CENTRAL MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAYNA ALTOM (EXECUTIVE DIRECTOR)
(989) 953-5805
Entity
Organization
Contact information
Practice address
1750 E BELLOWS ST, MT PLEASANT, MI 48858-3872
(989) 953-5800
(989) 953-5802
Mailing address
1750 E BELLOWS ST, MT PLEASANT, MI 48858-3872
(989) 953-5800
(989) 953-5802
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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