# THE BLAKE RCF

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE BLAKE RCF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730665761
- **Authorized official:** MS. NOVELLA Y JACKSON (CEO)
- **Authorized official phone:** (803) 262-8387

## Contact information

- **Practice address:** 1219 JASPER ST, ORANGEBURG, SC 29115-3570
- **Practice address phone:** (803) 244-0373
- **Practice address fax:** (803) 244-0372
- **Mailing address:** 1219 JASPER ST, ORANGEBURG, SC 29115-3570
- **Mailing address phone:** (803) 244-0373
- **Mailing address fax:** (803) 244-0372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | SC | Yes |

## Other

- **Enumeration date:** 07/12/2018
- **Last updated:** 07/12/2018