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SUZANNE BLAKE

Individual Provider (NPI-1) Active

Technician, Personal Care Attendant

Provider Information

NPI Number
1518615301
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
47082 OAK CREEK TRCE, HAMMOND, LA, 704013641
Phone
(985) 956-7111

Specialties & Taxonomies

Chore Provider
Technician, Personal Care Attendant Primary License: LA

All Addresses

MAILING

PO BOX 584

NATALBANY, LA, 704510584

LOCATION

47082 OAK CREEK TRCE

HAMMOND, LA, 704013641

(985) 956-7111