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Organization

BLAKE HOME HEALTH AGENCY

Active
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Organization

BLAKE HOME HEALTH AGENCY

Active
Other names
Blake Educational Center & Home Health Agencty
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIONNE JACKSON QMHP (DIRECTOR)
(804) 545-1974
Entity
Organization

Contact information

Practice address
5709 S LABURNUM AVE, RICHMOND, VA 23231-4420
(804) 545-1974
(888) 314-9510
Mailing address
5709 S LABURNUM AVE, RICHMOND, VA 23231-4420
(804) 545-1974
(888) 314-9510

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1999
VA

Other

Enumeration date
06/20/2016
Last updated
08/14/2019
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