Organization
TOTAL LONGTERM CARE, INC
Active
Parent organization
TOTAL LONGTERM CARE, INC.
Other names
InnovAge Colorado PACE-Lakewood
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOTAL LONGTERM CARE, INC.
Authorized official
GAYLE M WASHINGTON (CREDENTIALING DIRECTOR)
(303) 912-7193
Entity
Organization
Contact information
Practice address
8405 W ALAMEDA AVE, LAKEWOOD, CO 80226-2908
(720) 974-5400
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
11/02/2020
Last updated
11/02/2020
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