NPI 1588279657

Innovage Pennsylvania Life, LLC

Organisation PACE Provider Organization Philadelphia, PA

Practice location

Address: 4401 Megargee St, Philadelphia, PA 19136-2160
Phone: (844) 292-1028
Mailing address: 8950 E Lowry Blvd, Denver, CO 80230-7030

Authorised official

Name: Vanessa Deborah Walton
Title: Chief Legal Officer
Phone: (303) 242-1352

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: 1588279657
Entity type: Organization
NPI issued: 15 Sep 2020
Record last updated: 15 Sep 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.