| Pace Enterprises Of West Virginia | |
|
889 Mylan Park Ln Morgantown WV 26501-2413 | |
| (304) 983-7223 | |
| (304) 983-2441 |
| Full Name | Pace Enterprises Of West Virginia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 889 Mylan Park Ln, Morgantown, West Virginia |
| Authorized Official Name and Position | C Greg Morris (CHIEF EXECUTIVE OFFICE) |
| Authorized Official Contact | 3049837223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pace Enterprises Of West Virginia 889 Mylan Park Ln Morgantown WV 26501-2413 Ph: (304) 983-7223 | Pace Enterprises Of West Virginia 889 Mylan Park Ln Morgantown WV 26501-2413 Ph: (304) 983-7223 |
| NPI Number | 1114322526 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 10/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114322526 | NPI | - | NPPES |
| 0005357000 | Other | WV | WV MEDICAID MMIS PROVIDER ID NUMBER |
| 1356449375 | Other | WV | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100 (West Virginia) | Primary |
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