Individual
MRS. KIMBERLY LAJUAN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 BARBERRY LN, COLUMBUS, OH 43213-3310
(614) 348-8111
(614) 474-8623
Mailing address
1060 BARBERRY LN, COLUMBUS, OH 43213-3310
(614) 348-8111
(614) 474-8623
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372600000X
Adult Companion
Primary
—
OH
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
OH
376J00000X
Homemaker
—
—
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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