Organization
BLAKEY HALL ASSISTED LIVING, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KETCHAM (MANAGING PARTNER)
(336) 506-2309
Entity
Organization
Contact information
Practice address
501 BLAKEY HALL LN, ELON, NC 27244-7966
(336) 506-2310
Mailing address
501 BLAKEY HALL LN, ELON, NC 27244-7966
(336) 506-2310
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL 001 023
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803824
—
NC
Enumeration date
09/25/2006
Last updated
05/31/2013
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