Provider Demographics
NPI:1518859255
Name:BLACKWOOD, BARBARA BETH
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:BETH
Last Name:BLACKWOOD
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 1:4026 HELEN AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48146-3716
Mailing Address - Country:US
Mailing Address - Phone:313-746-0038
Mailing Address - Fax:
Practice Address - Street 1:4026 HELEN AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:MI
Practice Address - Zip Code:48146-3716
Practice Address - Country:US
Practice Address - Phone:313-746-0038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker