Organization
PACE COMMUNITY ACTION AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERTHA AKIDA PROCTOR (EXECUTIVE DIRECTOR)
(812) 882-7927
Entity
Organization
Contact information
Practice address
715 WABASH AVE, VINCENNES, IN 47591-3216
(812) 882-6069
(812) 886-5307
Mailing address
525 N 4TH ST, VINCENNES, IN 47591-1444
(812) 882-6069
(812) 886-5307
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100155290A
—
IN
Enumeration date
11/15/2006
Last updated
06/23/2008
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