Michael Leeroy Blake
Michael Leeroy Blake is a Personal Care Attendant in Glendale, West Virginia. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
27 Boulder RdGlendale, WV 26038
Phone: (304) 650-1797
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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 |
|---|
Record details
| NPI number | 1922729094 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 7, 2022 |
| Last updated in NPPES | September 7, 2022 |
| Certification date | September 6, 2022 |
| Mailing address | 27 Boulder Rd, Glendale, WV 26038 |