Individual provider · NPI-1
Tyrie Damon Blue Sr.
Technician, Attendant Care Provider · New Orleans, LA
NPI number1982841177
StatusActive
Last updated in NPPESJan 9, 2009
Details
- NPI
- 1982841177
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tyrie Damon Blue Sr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2009
- Last updated
- Jan 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 372600000X | Adult Companion | – | – | |
| 372500000X | Chore Provider | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
7604 Bullard AveNew Orleans, LA 70128-1125
Phone 504-722-0014
Mailing address
7604 Bullard AveNew Orleans, LA 70128-1125
Phone 504-722-0014
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