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Eugenia Black, OWNER
Home Health Aide in South Bend, Indiana
NPI 1811569106

Eugenia Black is a Home Health Aide based in South Bend, IN. Eugenia Black practices in South Bend, IN and has the professional credentials of OWNER. The NPI Number for Eugenia Black is 1811569106 and holds a License No. (Indiana).

The current practice location address for Eugenia Black is 55207 Melrose Ave, South Bend, IN and can be reached out via phone at 574-514-3957.

Location: 55207 Melrose Ave, South Bend, IN, 46628-5258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811569106
Provider Name
Eugenia Black
Credential
OWNER
Provider Entity Type
Individual
Gender
Female
Address
55207 Melrose Ave, South Bend, IN, 46628-5258
Phone Number
574-514-3957
Fax Number
Provider Enumeration Date
07/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05 05 IN
institution
Provider Business Practice Location Address Details
Address
55207 Melrose Ave
City
South Bend
State
Indiana
Zip
46628-5258
Phone Number
574-514-3957
Fax Number
person
Provider Business Mailing Address Details
Address
55207 Melrose Ave
City
South Bend
State
Indiana
Zip
46628-5258
Phone Number
574-514-3957
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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