Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EARLEAN BLACKWELL
Active Sole ProprietorEARLEAN BLACKWELL is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in MARIETTA, Georgia. NPI 1023677713 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · MARIETTA, GA
Registration Details
- NPI Number
- 1023677713
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2019 (7.2231530774067 yrs)
- Last Updated
- Jun 6, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1865 WALDREP CIR SEMARIETTA, GA, 300604927Browse GA providers · Browse ZIP 30060
- Phone
- 6784910078
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.