Susan Raye Blacka
Susan Raye Blacka is a Personal Care Attendant in Maysville, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
12913 Jordan Run RdMaysville, WV 26833-8509
Phone: (304) 749-7986
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 |
|---|
Record details
| NPI number | 1710597810 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 4, 2020 |
| Last updated in NPPES | July 8, 2021 |
| Certification date | July 8, 2021 |
| Mailing address | 12913 Jordan Run Rd, Maysville, WV 26833-8509 |
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