David Herzka
Assisted Living Facility in Richmond, VA. Organization (NPI-2).
NPI number1679110506
StatusActive
Last updated in NPPESDec 10, 2019
Details
- NPI
- 1679110506
- Entity type
- Organization (NPI-2)
- Legal business name
- David Herzka
- Organization subpart
- No
- Enumeration date
- Dec 10, 2019
- Certification date
- Dec 10, 2019
- Last updated
- Dec 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Richmond Alf Operations LLC (Doing Business As)
- Blue Ridge Senior Living Of Richmond (Other Name)
Practice location
12411 Gayton RdRichmond, VA 23238-2272
Phone 804-741-9494
Mailing address
516 Shady Oaks TrlBurleson, TX 76028-2320
Phone 817-933-5432
Authorized official
Julia King
Billing Supervisor
8179337582
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