Organization · NPI-2

Blake'S Mobile Care

Non-emergency Medical Transport (VAN) · Loganville, GA

NPI number1801212964
StatusActive
Last updated in NPPESMar 13, 2014

Details

NPI
1801212964
Entity type
Organization (NPI-2)
Legal business name
Blake'S Mobile Care
Organization subpart
No
Enumeration date
Mar 13, 2014
Last updated
Mar 13, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

821 Kaitlyn Dr
Loganville, GA 30052-6928

Phone 910-977-8699 · Fax 770-710-0862

Mailing address

821 Kaitlyn Dr
Loganville, GA 30052-6928

Fax 770-710-0862

Authorized official

Wayne Blake
Owner
9109778699

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