Individual provider · Type 1 NPI
George Blake
Meals Provider · Honolulu, HI
NPI number
1376152124
Active
Practice location
581 Kamoku St Apt 2008
Honolulu, HI 96826-5210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1376152124
George Blake's National Provider Identifier is 1376152124, issued on Jul 28, 2020. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Honolulu, HI. The record was last updated on Jul 28, 2020.