Blake Community Direct Services, Incorporated

NPI #1184189045 in Hazelwood, Missouri

Provider Information

NPI Number
1184189045
Entity Type
Organization
Organization Name
Blake Community Direct Services, Incorporated
Primary Specialty
Home Health
Enumeration Date
Feb 5, 2019
Last Updated
Feb 14, 2022

Practice Location

Address
7220 N LINDBERGH BLVD # 210
ZIP Code
63042-2019
Phone
(314) 224-8411

Authorized Official

Name
MR. THOMAS E BLAKE
Title
DIRECTOR
Phone
(314) 243-6745

Specialties & Taxonomy Codes

Specialty
Home Health

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