Trustees of the University of Pennsylvania
Trustees of the University of Pennsylvania is a PACE Provider Organization in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.
- Licensed in
- PA
- In the registry since
- 2007
Practice location Address checks out
4101 Woodland AvePhiladelphia, PA 19104-4510
Phone: (215) 573-7200
Fax: (215) 573-4442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X (PA) |
|---|
Record details
| NPI number | 1538210380 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wayne Pendleton — Executive Director · (215) 898-4417 |
| Other names | Life (Living Independently For Elders) |
| NPI enumerated | January 16, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4101 Woodland Ave, Philadelphia, PA 19104-4510 |
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