Individual
ALDEAN BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25200 SANDHURST RD, BEDFORD, OH 44146-3115
(440) 945-6773
Mailing address
25200 SANDHURST RD, BEDFORD, OH 44146-3115
(440) 945-6773
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1492151
OH
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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