Leslie Blake
Technician, Personal Care Attendant in Belington, WV. Individual provider (NPI-1).
NPI number1265213664
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1265213664
- Entity type
- Individual (NPI-1)
- Name
- Leslie Blake
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2023
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
12 S Crim AveBelington, WV 26250-8430
Phone 304-823-0223
Mailing address
Po Box 92Belington, WV 26250-0092
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All 1,712 Personal Care Attendant providers in Belington · All 1,821 providers in Belington
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