Chiquita Blake

NPI 1184984536 · on the registry since 2012 · sole proprietor

Practice

Address: 340 Woodbine St
Harrisburg, PA 17110
Phone: (717) 585-9390
Fax: (717) 889-0254
Organisation at this address: Our Angels Home Care
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 376K00000X
376K00000X
Also registered as: 372500000X
374U00000X
376J00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania