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Robert Demarest Blake JR.
Adult Care Home Facility in Fillmore, New York
NPI 1285029389

Robert Demarest Blake JR. is an Adult Care Home Facility based in Fillmore, NY and is specialized in Adult Care Home. Robert Demarest Blake JR. practices in Fillmore, NY. The NPI Number for Robert Demarest Blake JR. is 1285029389 and holds a License No. 251326-1 (New York).

The current practice location address for Robert Demarest Blake JR. is 11242 Mills Mills Rd, Fillmore, NY and can be reached out via phone at 214-223-1567.

Location: 11242 Mills Mills Rd, Fillmore, NY, 14735-8622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285029389
Provider Name
Robert Demarest Blake JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
11242 Mills Mills Rd, Fillmore, NY, 14735-8622
Phone Number
214-223-1567
Fax Number
Provider Enumeration Date
04/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11242 Mills Mills Rd
City
Fillmore
State
New York
Zip
14735-8622
Phone Number
214-223-1567
Fax Number
person
Provider Business Mailing Address Details
Address
11242 Mills Mills Rd
City
Fillmore
State
New York
Zip
14735-8622
Phone Number
214-223-1567
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
251326-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
251326-1 (New York)
Definition
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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