Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICTORIA HALL BLAKE
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · JACKSONVILLE, NC
Registration Details
- NPI Number
- 1801749551
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2026 (0.16625169756202 yrs)
- Last Updated
- Feb 20, 2026
- License
-
MHL-067-220 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
412 SURRY CTJACKSONVILLE, NC, 285403955Browse NC providers · Browse ZIP 28540
- Phone
- 9103401833
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Providers in JACKSONVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. LINDA ELIZABETH GIBSON | — | 1265693584 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.