India Rose Blackburn
India Rose Blackburn is a Personal Care Attendant in Moundsville, West Virginia. Licensed in West Virginia. Registered with an NPI since 2020.
- Licensed in
- WV
- In the registry since
- 2020
Practice location Address checks out
87 Swierkos DrMoundsville, WV 26041-4209
Phone: (304) 843-0910
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X (WV) |
|---|
Record details
| NPI number | 1356942270 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 6, 2020 |
| Last updated in NPPES | November 6, 2020 |
| Certification date | November 6, 2020 |
| Mailing address | 150 Grandview Dr, Wellsburg, WV 26070-2134 |
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Crystal Lynn Blake
87 Swierkos Dr, Moundsville, WV 26041-4209 · (304) 843-2306
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87 Swierkos Dr, Moundsville, WV 26041-4209 · (304) 843-0910
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87 Swierkos Dr, Moundsville, WV 26041-4209 · (304) 843-2306