The Blake at Charlottesville Services, LLC
NPI #1679265482 in Charlottesville, Virginia
Provider Information
- NPI Number
- 1679265482
- Entity Type
- Organization
- Organization Name
- The Blake at Charlottesville Services, LLC
- Primary Specialty
- Assisted Living Facility - Assisted Living, Behavioral Disturbances
- Enumeration Date
- May 22, 2023
- Last Updated
- May 22, 2023
Practice Location
- Address
- 250 NICHOLS COURT
- City
- Charlottesville
- State
- Virginia
- ZIP Code
- 22901
- Phone
- (434) 973-7900
Authorized Official
- Name
- MR. DAVID CRANDALL TER BORG
- Title
- EXECUTIVE DIRECTOR
- Phone
- (434) 973-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
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