NPI 1538210380

Trustees of the University of Pennsylvania

Organisation PACE Provider Organization Philadelphia, PA

Practice location

Address: 4101 Woodland Ave, Philadelphia, PA 19104-4510
Phone: (215) 573-7200
Fax: (215) 573-4442

Authorised official

Name: Wayne D. Pendleton
Title: Executive Director
Phone: (215) 898-4417

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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

Registry record

NPI: 1538210380
Entity type: Organization
NPI issued: 16 Jan 2007
Record last updated: 22 Aug 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.