| NPI | 1356967145 |
|---|---|
| Doing Business As | BLAKE HOME HEALTHCARE, LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLES MONTEL MAYO Director/President 804-545-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |