| NPI | 1215457254 |
|---|---|
| Other Name | BLAKE HOME HEALTH AGENCY |
| Entity Type | Organization |
| Authorized Contact | DIONNE JACKSON Director 804-545-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA HCO171615) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: VA HCO171615) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2019-08-14 |