Individual provider · Type 1 NPI
Nataiya Blackmon
Meals Provider · Rolla, MO
NPI number
1134040199
Active
Practice location
1106 Laguille Ct
Rolla, MO 65401-3440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
2 other providers at this address
About NPI 1134040199
Nataiya Blackmon's National Provider Identifier is 1134040199, issued on Jul 23, 2026. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Rolla, MO. The record was last updated on Jul 23, 2026.