Organization
THE BLAKE ADULT DAY CARE LLC
Active
Other names
The Blake Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOVELLA JACKSON (OWNER)
(803) 662-4749
Entity
Organization
Contact information
Practice address
832 MAIN ST S, ALLENDALE, SC 29810-4202
(803) 662-4749
(833) 836-5557
Mailing address
832 MAIN ST S, ALLENDALE, SC 29810-4202
(803) 662-4749
(833) 836-5557
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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