# BLAIR REGIONAL HOME HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417640426
- **Authorized official:** MARVA BLAIR (CEO)
- **Authorized official phone:** (405) 657-6648

## Contact information

- **Practice address:** 654 SW 177TH AVE, PEMBROKE PINES, FL 33029-4002
- **Practice address phone:** (954) 367-6693
- **Mailing address:** 7972 PINES BLVD \# 254703, PEMBROKE PINES, FL 33024-8602

## Taxonomy

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

## Other

- **Enumeration date:** 05/26/2023
- **Last updated:** 05/26/2023