| NPI | 1124512637 |
|---|---|
| Doing Business As | INNOVAGE VIRGINA PACE-PENINSULA |
| Doing Business As | INNOVAGE VIRGINIA PACE - NEWPORT |
| Entity Type | Organization |
| Authorized Contact | MAUREEN HEWITT CEO 303-869-4664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |