Kolisha Blake, RN

NPI #1578445367 in Margate, Florida

Provider Information

NPI Number
1578445367
Entity Type
Individual
Name
Kolisha Blake, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential
RN
Enumeration Date
Jul 22, 2025
Last Updated
Jul 22, 2025

Practice Location

Address
6560 NW 11TH ST
State
Florida
ZIP Code
33063-3510
Phone
(954) 889-4967

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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