| NPI | 1780225573 |
|---|---|
| Doing Business As | THE BLAKE EXPRESS TRANSPORTATION SERVICE |
| Entity Type | Organization |
| Authorized Contact | NOVELLA JACKSON Owner 803-662-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |