Organization
BLAKE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOLAN SCOTT BLAKE (OWNER)
(704) 910-0073
Entity
Organization
Contact information
Practice address
4926 RIDGELEY DR STE B, CHARLOTTE, NC 28208-1451
(704) 910-0073
(704) 910-0055
Mailing address
4926 RIDGELEY DR STE B, CHARLOTTE, NC 28208-1451
(704) 910-0073
(704) 910-0055
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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