Individual ProviderLaurna BlackwoodLicensed Practical NurseNursing Service ProvidersPractice Address25 Birch Rd, Amityville, NY 11701-1001(631) 841-4197PECOS EnrollmentBased on the most recent information from CMS, provider Laurna Blackwood does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1144477621Provider TypeIndividualFull NameBlackwood, LaurnaCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date8/26/2008Last Updated8/26/2008Contact InformationPractice LocationPractice Address25 Birch Rd, Amityville, NY 11701-1001Phone(631) 841-4197FaxUnlisted FaxMailing LocationMailing Address25 Birch Rd, Amityville, NY 11701-1001Phone(631) 841-4197FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense217090-1New York