Individual
MARILYN YVETTE BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, SF
Contact information
Practice address
4119 GRAND VIEW CT, ROSEDALE, VA 24280-3510
(276) 971-6522
(276) 880-1238
Mailing address
4119 GRAND VIEW CT, ROSEDALE, VA 24280-3510
(276) 971-6522
(276) 880-1238
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
07/09/2007
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