NPI | 1316602899 |
---|---|
Doing Business As | INNOVAGE GREATER COLORADO PACE |
Entity Type | Organization |
Authorized Contact | GAYLE M WASHINGTON Credentialing 303-912-7193 |
Organization Subpart ? | No |
Primary Taxonomy | 251T00000X PACE Provider Organization |
Enumeration Date | 2021-11-01 |
Last Update Date | 2021-11-01 |