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Blake Homes Llc
Developmental Disabilities Clinic/Center in Summerfield, Florida
NPI 1467960385

Blake Homes Llc is a Developmental Disabilities Clinic/Center based in Summerfield, FL and is specialized in Developmental Disabilities. Blake Homes Llc practices in Summerfield, FL. The NPI Number for Blake Homes Llc is 1467960385 and holds a License No. (Florida).

The current practice location address for Blake Homes Llc is 15085 Se 73Rd Ave, Summerfield, FL and can be reached out via phone at 352-504-6979.

Location: 15085 Se 73Rd Ave, Summerfield, FL, 34491-4226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467960385
Provider Name
Blake Homes Llc
Credential
Provider Entity Type
Organization
Address
15085 Se 73Rd Ave, Summerfield, FL, 34491-4226
Phone Number
352-504-6979
Fax Number
Provider Enumeration Date
01/12/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
691440 01 FL ATN
institution
Provider Business Practice Location Address Details
Address
15085 Se 73Rd Ave
City
Summerfield
State
Florida
Zip
34491-4226
Phone Number
352-504-6979
Fax Number
person
Provider Business Mailing Address Details
Address
15085 Se 73Rd Ave
City
Summerfield
State
Florida
Zip
34491-4226
Phone Number
352-504-6979
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(Florida)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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