VICTORIA HALL BLAKE NPI 1801749551

NPI Information

  • NPI: 1801749551
  • Provider Name: VICTORIA HALL BLAKE
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Individual
  • Address: 412 SURRY CT
    JACKSONVILLE, NC
    ZIP 28540
  • Phone: (910) 340-1833

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NPI Details

Victoria Hall Blake is a residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, NC. The provider is 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. Victoria Hall Blake NPI is 1801749551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

412 SURRY CT
JACKSONVILLE, NC
ZIP 28540-955
Phone: (910) 340-1833

The enumeration date for this NPI number is 2/20/2026 and was last updated on 2/20/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-067-220NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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