OrganizationActive
Life Pace, Inc.
NPI 1023407376 · PACE Provider Organization · Tulsa, OK
Provider details
- NPI number
- 1023407376
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Billy Copeland, Chief Financial Officer(918) 938-7606
- License
- H6941 (OK)
Specialties & taxonomies
Agencies
Practice location
902 E Pine St
Tulsa, OK 74106-5928
Phone: (918) 664-9000
Approximate (ZIP-level) locationGet directions
Mailing address
5950 E 31st St
Tulsa, OK 74135-5114
Registry dates
- Enumerated
- 2015-01-09
- Last updated
- 2022-11-10
- Certified
- 2022-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.