Organization · NPI-2

Blackman Enterprises

In Home Supportive Care · Oxon Hill, MD

NPI number1386300960
StatusActive
Last updated in NPPESNov 9, 2021

Details

NPI
1386300960
Entity type
Organization (NPI-2)
Legal business name
Blackman Enterprises
Organization subpart
No
Enumeration date
Nov 9, 2021
Certification date
Oct 24, 2021
Last updated
Nov 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

Jason Blackman 1009 Kennebec Street
Apt. 2d
Oxon Hill, MD 20745-3306

Phone 202-421-3662

Mailing address

Jason Blackman 1009 Kennebec Street
Apt. 2d
Oxon Hill, MD 20745-3306

Phone 202-421-3662

Authorized official

Jason Blackman
Ceo
2024213662

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