1104954569 INNOVAGE PENNSYLVANIA LIFE, LLC

PACE Provider Organization

Active

Basic Information

Organization Name
INNOVAGE PENNSYLVANIA LIFE, LLC
Enumeration Date
February 28, 2007
Last Update
April 4, 2019
Authorized Official
GAYLE M WASHINGTON
CREDENTIALING DIRECTOR
Phone: (303) 912-7193

Practice Location

Address
6950 GERMANTOWN AVE
PHILADELPHIA, PA 19119
Phone
(215) 951-4304
Fax
(267) 286-4910

Mailing Address

Address
6950 GERMANTOWN AVE
PHILADELPHIA, PA 191192114
Phone
(215) 951-4304
Fax
(267) 286-4910

Specialties & Taxonomies

Specialty Code Classification License State Primary
PACE Provider Organization
 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1017342560001 05 PA N/A

Additional Practice Locations

6970 Germantown Ave
Philadelphia, PA 191192114

Phone: (215) 951-4400

6970 Germantown Ave
Philadelphia, PA 191192114

Phone: (215) 951-4400

6950 Germantown Ave
Philadelphia, PA 191192114

Phone: (215) 951-4304

Fax: (267) 286-4910

Frequently Asked Questions

What is INNOVAGE PENNSYLVANIA LIFE, LLC's NPI number?
INNOVAGE PENNSYLVANIA LIFE, LLC's NPI number is 1104954569.
Which doctor has NPI number 1104954569?
The doctor with NPI number 1104954569 is INNOVAGE PENNSYLVANIA LIFE, LLC.
What is INNOVAGE PENNSYLVANIA LIFE, LLC's practice address?
INNOVAGE PENNSYLVANIA LIFE, LLC's practice address is 6950 GERMANTOWN AVE, PHILADELPHIA, PA, 19119.
Which doctor practices at 6950 GERMANTOWN AVE, PHILADELPHIA, PA, 19119?
INNOVAGE PENNSYLVANIA LIFE, LLC practices at 6950 GERMANTOWN AVE, PHILADELPHIA, PA, 19119.
What is INNOVAGE PENNSYLVANIA LIFE, LLC's phone number?
INNOVAGE PENNSYLVANIA LIFE, LLC's phone number is (215) 951-4304.
Who is (215) 951-4304?
(215) 951-4304 is the phone number for INNOVAGE PENNSYLVANIA LIFE, LLC.
What is INNOVAGE PENNSYLVANIA LIFE, LLC's specialty?
INNOVAGE PENNSYLVANIA LIFE, LLC's specialty is PACE Provider Organization.
What type of doctor is INNOVAGE PENNSYLVANIA LIFE, LLC?
INNOVAGE PENNSYLVANIA LIFE, LLC is a PACE Provider Organization.
Is INNOVAGE PENNSYLVANIA LIFE, LLC a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization?
Yes, INNOVAGE PENNSYLVANIA LIFE, LLC is a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization.
Is INNOVAGE PENNSYLVANIA LIFE, LLC still practicing?
Yes, INNOVAGE PENNSYLVANIA LIFE, LLC is currently practicing.
Is INNOVAGE PENNSYLVANIA LIFE, LLC accepting new patients?
INNOVAGE PENNSYLVANIA LIFE, LLC may be accepting new patients. Please call their office at (215) 951-4304 to inquire about availability.
Is NPI 1104954569 still active?
Yes, NPI 1104954569 is currently active.
Where does INNOVAGE PENNSYLVANIA LIFE, LLC practice?
INNOVAGE PENNSYLVANIA LIFE, LLC practices in PHILADELPHIA, PA.