Organization · Type 2 NPI

David Herzka

Assisted Living Facility · Richmond, VA

NPI number 1679110506 Active

Practice location

12411 Gayton Rd
Richmond, VA 23238-2272

Call (804) 741-9494 Map

Mailing address

516 Shady Oaks Trl
Burleson, TX 76028-2320

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3 other providers at this address

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NPI record

NPI: 1679110506
Entity type: Organization (Type 2)
Issued: Dec 10, 2019
Last updated: Dec 10, 2019
Status: Active

Other names

Richmond Alf Operations LLC · doing business as
Blue Ridge Senior Living of Richmond · other name

Authorized official

Julia King
Billing Supervisor
(817) 933-7582

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679110506

David Herzka's National Provider Identifier is 1679110506, issued on Dec 10, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Richmond, VA. The record was last updated on Dec 10, 2019.