George Blake is a Meals Provider based in Honolulu, HI. George Blake practices in Honolulu, HI. The NPI Number for George Blake is 1376152124 and holds a License No. (Hawaii).
The current practice location address for George Blake is 581 Kamoku St Apt 2008, Honolulu, HI and can be reached out via phone at 808-383-5189.
Location: 581 Kamoku St Apt 2008, Honolulu, HI, 96826-5210
Provider Profile Details
NPI Number
1376152124
Provider Name
George Blake
Credential
Provider Entity Type
Individual
Gender
Male
Address
581 Kamoku St Apt 2008, Honolulu, HI, 96826-5210
Phone Number
808-383-5189
Fax Number
Provider Enumeration Date
07/28/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
581 Kamoku St Apt 2008
City
State
Zip
96826-5210
Phone Number
808-383-5189
Fax Number
Provider Business Mailing Address Details
Address
581 Kamoku St Apt 2008
City
State
Zip
96826-5210
Phone Number
808-383-5189
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
License No.
()
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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