Organization
BLUE TIGER HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. MATHIS JR. (OWNER/EMPLOYEE)
(267) 678-8131
Entity
Organization
Contact information
Practice address
1335 KERPER ST, PHILADELPHIA, PA 19111-4901
(267) 671-8131
Mailing address
1335 KERPER ST, PHILADELPHIA, PA 19111-4901
(267) 671-8131
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/13/2019
Last updated
02/20/2020
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