Organization
AGE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MATUKA (PRESIDENT)
(215) 500-4645
Entity
Organization
Contact information
Practice address
4224 WHITING RD, PHILADELPHIA, PA 19154-2832
(215) 500-4645
Mailing address
4224 WHITING RD, PHILADELPHIA, PA 19154-2832
(215) 500-4645
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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