Individual provider · Type 1 NPI

Sardia Blake, PCT

Attendant Care Provider · Mount Vernon, NY

NPI number 1740913631 Active

Practice location

55 Sheridan Ave
Mount Vernon, NY 10552-2541

Mailing address

630 Gramatan Ave Apt GRM2
Mount Vernon, NY 10552-1830

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XX3Z3C7D4 (NY)

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1740913631

Sardia Blake, PCT's National Provider Identifier is 1740913631, issued on Jul 7, 2022. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Mount Vernon, NY. The record was last updated on Jul 7, 2022.