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Organization

BLAKE COMMUNITY DIRECT SERVICES, INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS E BLAKE (DIRECTOR)
(314) 243-6745
Entity
Organization

Contact information

Practice address
7220 N LINDBERGH BLVD # 210, HAZELWOOD, MO 63042-2019
(314) 224-8411
(314) 797-8055
Mailing address
7220 N LINDBERGH BLVD STE 210, HAZELWOOD, MO 63042-2019
(314) 224-8411
(314) 797-8055

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
02/05/2019
Last updated
02/14/2022
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