Individual
AMBER BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
246 PIKE LAKE RD, BAINBRIDGE, OH 45612-8005
(937) 594-5860
Mailing address
246 PIKE LAKE RD, BAINBRIDGE, OH 45612-8005
(937) 594-5860
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
10/18/2025
Last updated
10/18/2025
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