OrganizationActive
Jacob'S Ladder at Brookside Farm, LLC
NPI 1205344355 · Substance Use Disorder Rehabilitation Clinic/Center · Aurora, WV
Provider details
- NPI number
- 1205344355
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Blankenship, Ceo(304) 290-0000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
25208 George Washington Hwy
Aurora, WV 26705-8036
Phone: (304) 239-1214
Approximate (ZIP-level) locationGet directions
Mailing address
515 Grand St
Morgantown, WV 26501-6607
Registry dates
- Enumerated
- 2018-01-10
- Last updated
- 2018-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.