Shyra Shaquanda Blake
Home Health Aide in Flint, MI. Individual provider (NPI-1).
NPI number1033081625
StatusActive
Last updated in NPPESSep 22, 2025
Details
- NPI
- 1033081625
- Entity type
- Individual (NPI-1)
- Name
- Shyra Shaquanda Blake
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2025
- Certification date
- Sep 22, 2025
- Last updated
- Sep 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | 802411452 | MI | Yes |
Practice location
1059 River Forest DrFlint, MI 48532-2803
Phone 810-610-6332
Mailing address
1059 River Forest DrFlint, MI 48532-2803
Phone 810-610-6332
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