NPI 1396332946

Total Longterm Care, INC

Organisation PACE Provider Organization Pueblo, CO

Practice location

Address: 401 W Northern Ave, Pueblo, CO 81004-3111
Phone: (719) 553-0400
Mailing address: 8950 E Lowry Blvd, Denver, CO 80230-7030

Authorised official

Name: Gayle M Washington
Title: Credentialing Coordinator
Phone: (303) 912-7193

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Colorado →

Registry record

NPI: 1396332946
Entity type: Organization
NPI issued: 30 Dec 2020
Record last updated: 30 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.