Innovage Pennsylvania Life, LLC
NPI #1013519735 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1013519735
- Entity Type
- Organization
- Organization Name
- Innovage Pennsylvania Life, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- INNOVAGE PENNSYLVANIA LIFE - ALLEGHENY
- Primary Specialty
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Enumeration Date
- Nov 9, 2020
- Last Updated
- Nov 9, 2020
Practice Location
- Address
- 1940 W ALLEGHENY AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19132-1614
- Phone
- (267) 335-1500
Authorized Official
- Name
- GAYLE M WASHINGTON
- Title
- CREDENTIALING
- Phone
- (303) 912-7193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Celestine Braaf |  AI Deep Dive |
| Samera Butler | AI Deep Dive |
| Abdul M Asquith | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Innovage Pennsylvania Life, LLC Part of Innovage Pennsylvania Life, LLC | AI Deep Dive |
| Innovage Pennsylvania Life, LLC | AI Deep Dive |
Want to research this healthcare provider further?