Organization
BLUE WATER HOME CARE
Active
Other names
Right at Home Main Line
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE GEORGE PEASE (OWNER)
(215) 385-4275
Entity
Organization
Contact information
Practice address
111 CARLTON PL, MEDIA, PA 19063-2105
(215) 385-4275
Mailing address
4128 DAISY LN, PLYMOUTH MEETING, PA 19462-1520
(215) 385-4275
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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