Individual
MR. JOHN L BLACKSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 SILVERSTONE DR, ENGLEWOOD, OH 45322-1722
(937) 620-8726
Mailing address
205 SILVERSTONE DR, ENGLEWOOD, OH 45322-1722
(937) 620-8726
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
Primary
RQ741430
OH
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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