OrganizationActive
Trustees of the University of Pennsylvania
NPI 1538210380 · PACE Provider Organization · Philadelphia, PA
Provider details
- NPI number
- 1538210380
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Wayne Pendleton, Executive Director(215) 898-4417
Specialties & taxonomies
Agencies
Practice location
4101 Woodland Ave
Philadelphia, PA 19104-4510
Phone: (215) 573-7200
Fax: (215) 573-4442
Approximate (ZIP-level) locationGet directions
Mailing address
4101 Woodland Ave
Philadelphia, PA 19104-4510
Other names (DBA / former)
- Doing business as
- Life (living Independently for Elders)
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.