Provider Demographics
NPI:1548607781
Name:BLAKEY, ASIA M
Entity Type:Individual
Prefix:
First Name:ASIA
Middle Name:M
Last Name:BLAKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4028 DONEY ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2303
Mailing Address - Country:US
Mailing Address - Phone:614-805-1648
Mailing Address - Fax:
Practice Address - Street 1:1330 ATCHESON ST
Practice Address - Street 2:ROOM 109
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1118
Practice Address - Country:US
Practice Address - Phone:614-398-5987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide