Organization
BLUE CHIP HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD SHELTON (PRESIDENT)
(215) 490-2811
Entity
Organization
Contact information
Practice address
5225 W GIRARD AVE, PHILADELPHIA, PA 19131-4330
(267) 634-6492
Mailing address
5225 W GIRARD AVE, PHILADELPHIA, PA 19131-4330
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38463601
—
PA
Enumeration date
07/20/2020
Last updated
07/20/2020
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