Yolanda Bleasdale
Individual provider Active NPI Home Health Registered Nurse · Manning, SC
NPI 1295154235 · NPPES record last updated Apr 7, 2014
Key facts
- NPI
- 1295154235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 33951 (SC)
- Practice address
- 110 Boyce Street
Manning, SC 29102 - Phone
- (803) 435-4355
- NPI assigned
- Apr 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33951 | SC | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 33951 | SC | Yes |
Addresses
Primary practice location
110 Boyce Street
Manning, SC 29102
Mailing address
1938 Bloomville Rd
Manning, SC 29102-5905
Phone (803) 473-8072
Other providers in Manning, SC
- Clayton Bines
- Bio-Medical Applications of South Carolina, Inc.
- Black River Healthcare, Inc.
- Black River Healthcare, Inc.
- Rebecca Lee Blank
- Vanessa Boatright
- Marilyn Bradley
- Branco Adult Daycare Center, LLC
- Angel Jeanine Brown
- Flora Jane Brown
All providers in Manning, SC · Home Health Registered Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2014. 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.