Innovage Kentucky Pace- Louisville, LLC

NPI #1720747413 in Louisville, Kentucky

Provider Information

NPI Number
1720747413
Entity Type
Organization
Organization Name
Innovage Kentucky Pace- Louisville, LLC
Primary Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date
Dec 10, 2021
Last Updated
Dec 10, 2021

Practice Location

Address
6013 PRESTON HWY
ZIP Code
40219-1317
Phone
(303) 869-4664

Authorized Official

Name
GAYLE 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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