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Organization

GOLDEN BOW-TY HOME HEALTH & COMPANION CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALFONSO TYLER LPN (FOUNDER/CEO)
(215) 904-5184
Entity
Organization

Contact information

Practice address
3103 PHILMONT AVE, SUITE 310, HUNTINGDON VALLEY, PA 19006-4263
(215) 904-5184
(866) 892-9294
Mailing address
3103 PHILMONT AVE, SUITE 310, HUNTINGDON VALLEY, PA 19006-4263
(215) 904-5184
(866) 892-9294

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
25763601
PA

Other

Enumeration date
10/02/2014
Last updated
04/16/2015
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