Jillian C Blake
Individual provider Active NPI Personal Care Attendant · Milton, WV
NPI 1205668985 · NPPES record last updated Aug 20, 2024
Key facts
- NPI
- 1205668985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1707 US Route 60 W
Milton, WV 25541-1112 - Phone
- (304) 743-8160
- NPI assigned
- Aug 20, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlimited Possabilities, Inc. | Current |
Accepting new patients |
Locations
1707 US Route 60 W
Milton, WV 25541
Phone (304) 654-8370
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1707 US Route 60 W
Milton, WV 25541-1112
Mailing address
1707 US Route 60 W
Milton, WV 25541-1112
Phone (304) 743-8160
Other providers in Milton, WV
- Hunter P Bevins
- Ronette L Bias-D'Errico
- Ronald L Bias Jr.
- Johnathan Bill
- Caden Blake
- Penny Blake
- Patricia Blatt
- Tabatha Bledsoe
- Connie Sue Boggess
- Bogren Chiropractic Health Center
All providers in Milton, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.