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James Blake
Adult Care Home Facility in Palm Coast, Florida
NPI 1770016222

James Blake is an Adult Care Home Facility based in Palm Coast, FL and is specialized in Adult Care Home. James Blake practices in Palm Coast, FL. The NPI Number for James Blake is 1770016222 and holds a License No. (Florida).

The current practice location address for James Blake is 11 White Feather Ln, Palm Coast, FL and can be reached out via phone at 386-445-2111.

Location: 11 White Feather Ln, Palm Coast, FL, 32164-3915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770016222
Provider Name
James Blake
Credential
Provider Entity Type
Individual
Gender
Male
Address
11 White Feather Ln, Palm Coast, FL, 32164-3915
Phone Number
386-445-2111
Fax Number
Provider Enumeration Date
04/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 White Feather Ln
City
Palm Coast
State
Florida
Zip
32164-3915
Phone Number
386-445-2111
Fax Number
person
Provider Business Mailing Address Details
Address
11 White Feather Ln
City
Palm Coast
State
Florida
Zip
32164-3915
Phone Number
386-445-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
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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