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Carl Lee Blackburn III
Personal Care Attendant in Charleston, West Virginia
NPI 1912698887

Carl Lee Blackburn III is a Personal Care Attendant based in Charleston, WV and is specialized in Personal Care Attendant. Carl Lee Blackburn III practices in Charleston, WV. The NPI Number for Carl Lee Blackburn III is 1912698887 and holds a License No. (West Virginia).

The current practice location address for Carl Lee Blackburn III is 1622 Ravinia Rd, Charleston, WV and can be reached out via phone at 304-356-0106.

Location: 1622 Ravinia Rd, Charleston, WV, 25314-1846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912698887
Provider Name
Carl Lee Blackburn III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1622 Ravinia Rd, Charleston, WV, 25314-1846
Phone Number
304-356-0106
Fax Number
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1622 Ravinia Rd
City
Charleston
State
West Virginia
Zip
25314-1846
Phone Number
304-356-0106
Fax Number
person
Provider Business Mailing Address Details
Address
1622 Ravinia Rd
City
Charleston
State
West Virginia
Zip
25314-1846
Phone Number
304-356-0106
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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