Blake, James

Blake, James is an sole proprietor health care provider with primary practice located at 11 White Feather Ln , Palm Coast FL 32164-3915. He recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as his primary health care specialty. Blake, James can be contacted via phone (386) 445-2111.

Contact Information

Primary practice address
11 White Feather Ln Palm Coast FL 32164-3915
Phone: (386) 445-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1770016222
LBN Legal business name Blake, James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2017
Last updated Apr 11th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers