Organization
WMD JAMESTOWN OPERATOR, LLC
Active
Other names
Berkeley Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
JOELLEN BLEAVINS (PRESIDENT OF MANAGEMENT AGENT)
(815) 935-1992
Entity
Organization
Contact information
Practice address
1807 JAMESTOWN RD, WILLIAMSBURG, VA 23185-2326
(757) 941-5099
Mailing address
4882 N CONVENT ST, BOURBONNAIS, IL 60914-1461
(815) 935-1992
(815) 935-8380
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ALF1104623
ASSISTED LIVING / MEMORY CARE COMMUNITY
VA
Enumeration date
05/17/2018
Last updated
05/22/2020
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