Individual provider · Type 1 NPI

James Blake

Adult Care Home Facility · Palm Coast, FL

NPI number 1770016222 Active

Practice location

11 White Feather Ln
Palm Coast, FL 32164-3915

Call (386) 445-2111 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1770016222

James Blake's National Provider Identifier is 1770016222, issued on Apr 11, 2017. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Palm Coast, FL. The record was last updated on Apr 11, 2017.