Individual provider · NPI-1

Chanelle T Blakes

Home Health Aide · Orlando, FL

NPI number1619880291
StatusActive
Last updated in NPPESSep 24, 2026

Details

NPI
1619880291
Entity type
Individual (NPI-1)
Name
Chanelle T Blakes
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 24, 2026
Certification date
Sep 24, 2026
Last updated
Sep 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–FLYes

Practice location

675 Head Ave
Orlando, FL 32808-7707

Phone 352-433-7172

Mailing address

519 Big Sioux Ct
Kissimmee, FL 34759-5929

Phone 352-433-7172

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