Desiree M Blunt
Individual provider Active NPI Personal Care Attendant · Dacula, GA
NPI 1225830987 · NPPES record last updated Mar 25, 2025
Key facts
- NPI
- 1225830987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1862 Auburn Rd Ste 118N2
Dacula, GA 30019-1676 - Phone
- (770) 415-3319
- NPI assigned
- Mar 25, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1862 Auburn Rd Ste 118N2
Dacula, GA 30019-1676
Mailing address
1862 Auburn Rd Ste 118N2
Dacula, GA 30019-1676
Phone (770) 415-3319
Other providers in Dacula, GA
- Chyan A. Black
- Erin F Black
- Daron Blankenship
- Kelli Block
- Blue Genesis Holdings LLC
- Marguerite Bonnet
- Rebecca Lynn Born
- Alicia Boyd
- Mariah Lindsey Bradley
- Mit Brahmbhatt
All providers in Dacula, GA · Personal Care Attendant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2025. 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.