Organization
BLAKE IN HOME HEALTH SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS EVERTT BLAKE SR. DO (OWNER)
(314) 243-6745
Entity
Organization
Contact information
Practice address
7220 N LINDBERGH BLVD # 210, HAZELWOOD, MO 63042-2019
(314) 224-8411
Mailing address
7220 N LINDBERGH BLVD # 210, HAZELWOOD, MO 63042-2019
(314) 224-8411
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
MO
253Z00000X
In Home Supportive Care Agency
—
MO
374U00000X
Home Health Aide
—
MO
Other
Enumeration date
07/11/2018
Last updated
02/14/2022
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