SANDRA BLAKE

HOT SPRINGS, AR
NPI1902052004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
(Licence: AR  057935310994E)
Enumeration Date2008-08-08
Last Update Date2008-08-08
Business Address
-- SANDRA BLAKE MHPP
3871 SPRING ST
HOT SPRINGS, AR 71901-8606
Phone number: 501-623-3477
Mailing Address
-- SANDRA BLAKE MHPP
311 WHITTINGTON AVE
HOT SPRINGS, AR 71901-3407
Phone number: 501-623-3477