Individual provider · NPI-1

Calves V Blake, Bachelor's degree

Assisted Living Facility, Assisted Living, Mental Illness · Columbus, OH

NPI number1598560856
StatusActive
Last updated in NPPESFeb 19, 2025

Details

NPI
1598560856
Entity type
Individual (NPI-1)
Name
Calves V Blake
Credential
Bachelor's degree
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 19, 2025
Certification date
Feb 19, 2025
Last updated
Feb 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness0018205WIYes

Practice location

2323 Lake Club Dr Ste 301
Columbus, OH 43232-3198

Phone 614-456-4999 · Fax 866-496-2680

Mailing address

2323 Lake Club Dr Ste 301
Columbus, OH 43232-3198

Phone 614-456-4999 · Fax 866-496-2680

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