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Organization
THE BLAKE AT CHARLOTTESVILLE SERVICES, LLC
Active
Organization
THE BLAKE AT CHARLOTTESVILLE SERVICES, LLC
Active
Other names
The Blake at Charlottesville, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CRANDALL TER BORG (EXECUTIVE DIRECTOR)
(434) 973-7900
Entity
Organization
Contact information
Practice address
250 NICHOLS COURT, CHARLOTTESVILLE, VA 22901
(434) 973-7900
(434) 328-7315
Mailing address
250 NICHOLS COURT, CHARLOTTESVILLE, VA 22901
(434) 973-7900
(434) 328-7315
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
NULL
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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