NPI 1730665761

The Blake Rcf

Organisation Assisted Living Facility (Mental Illness) Orangeburg, SC

Practice location

Address: 1219 Jasper St, Orangeburg, SC 29115-3570
Phone: (803) 244-0373
Fax: (803) 244-0372

Authorised official

Name: Novella Y Jackson
Title: Ceo
Phone: (803) 262-8387

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

Other Assisted Living Facility providers in South Carolina →

Registry record

NPI: 1730665761
Entity type: Organization
NPI issued: 12 Jul 2018
Record last updated: 12 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.