NPI 1720747413

Innovage Kentucky Pace- Louisville, LLC

Organisation PACE Provider Organization Louisville, KY

Practice location

Address: 6013 Preston Hwy, Louisville, KY 40219-1317
Phone: (303) 869-4664
Mailing address: 8950 E Lowry Blvd, Denver, CO 80230-7030

Authorised official

Name: Gayle Washington
Title: Credentialing Director
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 Kentucky →

Registry record

NPI: 1720747413
Entity type: Organization
NPI issued: 10 Dec 2021
Record last updated: 10 Dec 2021

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.