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Organization

THE BLAKE AT OXFORD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PERIAN PETCHER (REGIONAL DIRECTOR OF OPERATIONS)
(980) 275-0974
Entity
Organization

Contact information

Practice address
110 ED PERRY BLVD, OXFORD, MS 38655-3452
(662) 234-5050
Mailing address
110 ED PERRY BLVD, OXFORD, MS 38655-3452
(662) 234-5050

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1204

Other

Enumeration date
02/27/2018
Last updated
02/27/2018
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