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Organization

INNOVAGE FLORIDA PACE, LLC

Active
Other names
InnovAge Greater Colorado PACE
Organization subpart
No

Provider details

NPI number
Authorized official
GAYLE M WASHINGTON (CREDENTIALING)
(303) 912-7193
Entity
Organization

Contact information

Practice address
INNOVAGE FLORIDA PACE, LLC, 4520 SEEDLING CIRCLE, TAMPA, FL 33614
(844) 204-7867
Mailing address
8950 E LOWRY BLVD, DENVER, CO 80230-7030
(303) 912-7193

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary

Other

Enumeration date
11/01/2021
Last updated
11/01/2021
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