Organization
BLAKES RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE ELAINE BLAKE (OWNER)
(210) 968-9338
Entity
Organization
Contact information
Practice address
4802 MAURITA DR, SPRING, TX 77373-6954
(210) 968-9338
Mailing address
19728 SAUMS RD # 185, HOUSTON, TX 77084-4734
(210) 968-9338
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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