Amanda Blackburn
Technician, Personal Care Attendant in Lenore, WV. Individual provider (NPI-1).
NPI number1992391684
StatusActive
Last updated in NPPESAug 15, 2025
Details
- NPI
- 1992391684
- Entity type
- Individual (NPI-1)
- Name
- Amanda Blackburn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2020
- Certification date
- Aug 15, 2025
- Last updated
- Aug 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 374U00000X | Home Health Aide | – | – |
Practice location
Po Box 306Lenore, WV 25676-0306
Phone 304-836-5505
Mailing address
Po Box 306Lenore, WV 25676-0306
Phone 304-836-5505
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All 28 Personal Care Attendant providers in Lenore · All 38 providers in Lenore
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