NPI Profile for BLAKE IN HOME HEALTH SERVICE LLC in HAZELWOOD, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Home Health Aide |
374U00000X | |||
In Home Supportive Care |
253Z00000X |
| NPI Number | 1063998276 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/11/2018 | |
| Last updated | 02/14/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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