Innovage Virginia Pace Ii, LLC

NPI #1124512637 in Richmond, Virginia

Provider Information

NPI Number: 1124512637
Entity Type: Organization
Organization Name: Innovage Virginia Pace Ii, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TOTAL COMMUNITY OPTIONS INC.
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Jun 18, 2018
Last Updated: Jun 18, 2018

Practice Location

Address: 1300 MACTAVISH AVE
City: Richmond
State: Virginia
ZIP Code: 23230-4633
Phone: (804) 977-5990

Authorized Official

Name: MS. MAUREEN HEWITT
Title: CEO
Phone: (303) 869-4664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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