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Christian Black

Home Health Aide in Wellston, OH. Individual provider (NPI-1).

NPI number1336748003
StatusActive
Last updated in NPPESOct 22, 2020

Details

NPI
1336748003
Entity type
Individual (NPI-1)
Name
Christian Black
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 22, 2020
Certification date
Oct 22, 2020
Last updated
Oct 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

1119 S New York Ave
Wellston, OH 45692-2427

Phone 740-395-6172

Mailing address

1119 S New York Ave
Wellston, OH 45692-2427

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Home Health Aide providers in Wellston, OH

All 15 Home Health Aide providers in Wellston · All 155 providers in Wellston

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