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India Rose Blackburn
Personal Care Attendant in Moundsville, West Virginia
NPI 1356942270

India Rose Blackburn is a Personal Care Attendant based in Wellsburg, WV and is specialized in Personal Care Attendant. India Rose Blackburn practices in Moundsville, WV. The NPI Number for India Rose Blackburn is 1356942270 and holds a License No. (West Virginia).

The current practice location address for India Rose Blackburn is 87 Swierkos Dr, Moundsville, WV and can be reached out via phone at 304-843-0910.

Location: 87 Swierkos Dr, Moundsville, WV, 26070-2134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356942270
Provider Name
India Rose Blackburn
Credential
Provider Entity Type
Individual
Gender
Female
Address
87 Swierkos Dr, Moundsville, WV, 26070-2134
Phone Number
304-843-0910
Fax Number
Provider Enumeration Date
11/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1821206228 05 WV
1255523494 05 WV
institution
Provider Business Practice Location Address Details
Address
87 Swierkos Dr
City
Moundsville
State
West Virginia
Zip
26041-4209
Phone Number
304-843-0910
Fax Number
person
Provider Business Mailing Address Details
Address
87 Swierkos Dr
City
Moundsville
State
West Virginia
Zip
26041-4209
Phone Number
304-843-0910
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
(West Virginia)
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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