Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kolisha Blake, RN

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1578445367

Kolisha Blake, RN is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Margate, Florida. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

6560 NW 11th St
Margate, FL 33063-3510
Phone: (954) 889-4967
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1578445367
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 22, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address705 Sw 51st Ave, Margate, FL 33068-3045