Individual provider · Type 1 NPI
Kolisha Blake, RN
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Margate, FL
Practice location
6560 NW 11th St
Margate, FL 33063-3510
Mailing address
705 SW 51st Ave
Margate, FL 33068-3045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1578445367
Kolisha Blake, RN's National Provider Identifier is 1578445367, issued on Jul 22, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Margate, FL. The record was last updated on Jul 22, 2025.