Organization
DAVID HERZKA
Active
Other names
Richmond ALF Operations LLC, Blue Ridge Senior Living of Richmond
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA KING (BILLING SUPERVISOR)
(817) 933-7582
Entity
Organization
Contact information
Practice address
12411 GAYTON RD, RICHMOND, VA 23238-2272
(804) 741-9494
Mailing address
516 SHADY OAKS TRL, BURLESON, TX 76028-2320
(817) 933-5432
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
12/10/2019
Last updated
12/10/2019
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