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Katie Jacqueline Blake
Personal Care Attendant in Palm Bay, Florida
NPI 1053934430

Katie Jacqueline Blake is a Personal Care Attendant based in Palm Bay, FL and is specialized in Personal Care Attendant. Katie Jacqueline Blake practices in Palm Bay, FL. The NPI Number for Katie Jacqueline Blake is 1053934430 and holds a License No. (Florida).

The current practice location address for Katie Jacqueline Blake is 494 Gancedo St Sw, Palm Bay, FL and can be reached out via phone at 218-269-1483.

Location: 494 Gancedo St Sw, Palm Bay, FL, 32908-1270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053934430
Provider Name
Katie Jacqueline Blake
Credential
Provider Entity Type
Individual
Gender
Female
Address
494 Gancedo St Sw, Palm Bay, FL, 32908-1270
Phone Number
218-269-1483
Fax Number
Provider Enumeration Date
05/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
494 Gancedo St Sw
City
Palm Bay
State
Florida
Zip
32908-1270
Phone Number
218-269-1483
Fax Number
person
Provider Business Mailing Address Details
Address
494 Gancedo St Sw
City
Palm Bay
State
Florida
Zip
32908-1270
Phone Number
218-269-1483
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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