Individual
MICHAEL NOBLES BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 W TIOGA ST # 201, PHILADELPHIA, PA 19140-4936
(223) 400-9882
Mailing address
1700 W TIOGA ST # 201, PHILADELPHIA, PA 19140-4936
(223) 400-9882
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
24015689
PA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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