Innovage Pennsylvania Life, LLC
NPI #1023612264 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1023612264
- Entity Type
- Organization
- Organization Name
- Innovage Pennsylvania Life, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- INNOVAGE PENNSYLVANIA LIFE, LLC
- Primary Specialty
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Enumeration Date
- Nov 29, 2020
- Last Updated
- Nov 29, 2020
Practice Location
- Address
- 3232 HENRY AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19129-1241
- Phone
- (267) 774-2920
Authorized Official
- Name
- LEZLIE CORBIN
- Title
- CREDENTIALING COORDINATOR
- Phone
- (215) 734-9587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
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Organizations
| Provider Name | |
|---|---|
| Innovage Pennsylvania Life, LLC Part of Innovage Pennsylvania Life - Allegheny | AI Deep Dive |
| Innovage Pennsylvania Life, LLC | AI Deep Dive |
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