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Organization
ABLAKE HEALTHCARE LLC
Active
Organization
ABLAKE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSIE BRIANNA BLAKENEY RN (CHIEF EXECUTIVE OFFICER)
(803) 465-0063
Entity
Organization
Contact information
Practice address
1040 WILDWOOD CENTRE DR STE A, COLUMBIA, SC 29229-8402
(843) 517-2809
Mailing address
1040 WILDWOOD CENTRE DR STE A, COLUMBIA, SC 29229-8402
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/16/2024
Last updated
05/09/2025
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