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

TaxonomyCodeLicense
Meals Provider Primary 174200000XNone 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.