MARY BLACKA

Technician - Personal Care Attendant

Active Individual
NPI: 1740894989

Practice Address

15 LIGHTHOUSE WAY
New Creek, WV 26743

Phone: (304) 289-3326

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1740894989 is the National Provider Identifier for MARY BLACKA, a Technician - Personal Care Attendant provider located in New Creek, WV. This NPI was enumerated on September 4, 2020.
MARY BLACKA practices at 15 LIGHTHOUSE WAY, New Creek, WV 26743.

Quick Facts

NPI
1740894989
Type
Individual
Enumerated
Sep 4, 2020
Last Updated
Jul 9, 2021

Nearby Providers