# BLAKECIS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blakecis Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215667456
- **Authorized official:** ANA SOFHIA MATA PALMER RN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (530) 248-3444

## Contact information

- **Practice address:** 2185 CHURN CREEK RD STE H, REDDING, CA 96002-0729
- **Practice address phone:** (530) 232-8264
- **Practice address fax:** (657) 224-2483
- **Mailing address:** 2185 CHURN CREEK RD STE H, REDDING, CA 96002-0729
- **Mailing address phone:** (530) 232-8264
- **Mailing address fax:** (657) 224-2483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2022
- **Last updated:** 06/11/2022