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Search › North Carolina › Intellectual and/or Developmental Disabilities Residential Treatment Facility

Victoria Blake

NPI 1801749551 · on the registry since 2026 · sole proprietor

Practice

Address
412 Surry Ct
Jacksonville, NC 28540
Phone
(910) 340-1833

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina