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Organization

INNOVAGE VIRGINIA PACE - ROANOKE VALLEY, LLC

Active
Parent organization
TOTAL COMMUNITY OPTIONS, INC.
Other names
InnovAge Virginia PACE - Roanoke Valley
Organization subpart
Yes

Provider details

NPI number
Legal business name
TOTAL COMMUNITY OPTIONS, INC.
Authorized official
MR. JOSH D. MCGILLIARD (REGIONAL EXECUTIVE DIRECTOR)
(540) 595-6563
Entity
Organization

Contact information

Practice address
5251 CONCOURSE DR, ROANOKE, VA 24019-3081
(540) 904-2817
(540) 682-5946
Mailing address
5251 CONCOURSE DR, ROANOKE, VA 24019-3081
(540) 904-2817
(540) 682-5946

Taxonomy

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

Other

Enumeration date
04/25/2013
Last updated
04/13/2018
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