West Baltimore Pace Community Coalition, LLC
West Baltimore Pace Community Coalition, LLC is a PACE Provider Organization in Baltimore, Maryland. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3201A Tioga Pkwy Ste ABaltimore, MD 21215-7987
Phone: (443) 961-0796
Fax: (443) 961-0797
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X |
|---|
Record details
| NPI number | 1023870284 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Billingsley — Chief Administration Officer · (617) 594-7753 |
| Other names | Edenbridge Pace Of West Baltimore |
| NPI enumerated | January 24, 2024 |
| Last updated in NPPES | January 24, 2024 |
| Certification date | January 24, 2024 |
| Mailing address | 3201a Tioga Pkwy Ste A, Baltimore, MD 21215-7987 |
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Johns Hopkins Health System
4940 Eastern Ave Mfl Bldg First Fl East, Baltimore, MD 21224-2735 · (410) 550-7044