Healthcare Provider Details

I. General information

NPI: 1326968926
Provider Name (Legal Business Name): DANIELLE BLAIR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24799 LAKESHORE BLVD APT. A719
EUCLID OH
44123-1274
US

IV. Provider business mailing address

24799 LAKESHORE BLVD APT. A719
EUCLID OH
44123-1274
US

V. Phone/Fax

Practice location:
  • Phone: 216-563-2319
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: