Provider Demographics
NPI:1134889348
Name:PACE YOUR STEPS LLC
Entity type:Organization
Organization Name:PACE YOUR STEPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:CL
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:347-560-0035
Mailing Address - Street 1:160 E SUNRISE HWY # 1017
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-3945
Mailing Address - Country:US
Mailing Address - Phone:347-560-0035
Mailing Address - Fax:
Practice Address - Street 1:160 E SUNRISE HWY # 1017
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3945
Practice Address - Country:US
Practice Address - Phone:347-560-0035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty