Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Victoria Hall Blake

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1801749551

Victoria Hall Blake is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jacksonville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

412 Surry Ct
Jacksonville, NC 28540-3955
Phone: (910) 340-1833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence MHL-067-220 (NC)

Record details

NPI number1801749551
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2026
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing address412 Surry Ct, Jacksonville, NC 28540-3955

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