Individual
DEVA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 WASHINGTON AVE, SAINT ALBANS, WV 25177-2150
(330) 323-7552
Mailing address
2802 WASHINGTON AVE, SAINT ALBANS, WV 25177-2150
(330) 323-7552
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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