NPI | 1730665761 |
---|---|
Doing Business As | THE BLAKE RCF |
Entity Type | Organization |
Authorized Contact | NOVELLA Y JACKSON CEO 803-262-8387 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2018-07-12 |
Last Update Date | 2018-07-12 |