Innovage Pennsylvania Life, LLC
NPI #1104954569 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1104954569
- Entity Type
- Organization
- Organization Name
- Innovage Pennsylvania Life, LLC
- Primary Specialty
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Apr 4, 2019
Practice Location
- Address
- 6950 GERMANTOWN AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19119
- Phone
- (215) 951-4304
Authorized Official
- Name
- GAYLE M WASHINGTON
- Title
- CREDENTIALING DIRECTOR
- Phone
- (303) 912-7193
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 Part of Innovage Pennsylvania Life, LLC | AI Deep Dive |
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