Organization Name: | BLAKEY HALL ASSISTED LIVING, LLP |
NPI Number: | 1619077781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN KETCHAM (MANAGING PARTNER) |
Mailing Address: | 501 Blakey Hall Ln Elon |
State: | NC US |
Postal Code: | 272447966 |
Phone Number: | 3365062310 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 05/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | HAL 001 023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |