Organization · Type 2 NPI

Northeast Independent Living Services

PACE Provider Organization · Hannibal, MO

NPI number 1861622128 Active

Practice location

909 Broadway, Suite 350
Hannibal, MO 63401-4249

Fax (573) 221-8233

Specialties and licenses

TaxonomyCodeLicense
PACE Provider Organization Primary 251T00000X834 (MO)

PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…

About NPI 1861622128

Northeast Independent Living Services's National Provider Identifier is 1861622128, issued on Jul 21, 2009. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Hannibal, MO. The record was last updated on Jul 21, 2009.