CRYSTAL LYNN BLAKE
NPI 1730794348
Technician - Personal Care Attendant in Moundsville, WV

Q: What is the provider's specialty?

The provider's specialty is Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.

Active since September 10, 2020

87 SWIERKOS DR, MOUNDSVILLE, WV 26041(304) 843-2306 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 21, 2020, Sep 10, 2020 (2 updates tracked since 2020).

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About Crystal Lynn Blake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LYNN BLAKE (NPI 1730794348) is an individual personal care attendant in Moundsville, West Virginia and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1730794348

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameCRYSTAL LYNN BLAKE

Location Address87 SWIERKOS DRMoundsville, WV 26041-4209

Mailing Address306 W Main StPaden City, WV 26159-1430

Phone(304) 843-2306

Sole ProprietorNo

Enumeration DateSeptember 10, 2020

Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration

NPPES CertifiedOctober 21, 2020

✔ NPI 1730794348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

87 SWIERKOS DR, Moundsville, WV 26041

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