| NPI | 1184220485 |
|---|---|
| Doing Business As | INNOVAGE COLORADO PACE LOVELAND |
| Entity Type | Organization |
| Authorized Contact | GAYLE M WASHINGTON Credentialing COO Rdinator 303-912-7193 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2021-10-20 |