Blake Homes LLC
NPI #1467960385 in Summerfield, Florida
Provider Information
- NPI Number
- 1467960385
- Entity Type
- Organization
- Organization Name
- Blake Homes LLC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Jan 12, 2018
- Last Updated
- Jan 12, 2018
Practice Location
- Address
- 15085 SE 73RD AVE
- City
- Summerfield
- State
- Florida
- ZIP Code
- 34491-4226
- Phone
- (352) 504-6979
Authorized Official
- Name
- KYLE BLAKE
- Title
- OWNER
- Phone
- (352) 504-6979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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