Individual provider · Type 1 NPI
Victoria Hall Blake
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Jacksonville, NC
Practice location
412 Surry Ct
Jacksonville, NC 28540-3955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-067-220 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Other intellectual and/or developmental disabilities residential treatment facility providers in Jacksonville
About NPI 1801749551
Victoria Hall Blake's National Provider Identifier is 1801749551, issued on Feb 20, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Jacksonville, NC. The record was last updated on Feb 20, 2026.