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Organization
MILDREDS FAMILY CARE,INC.
Active
Organization
MILDREDS FAMILY CARE,INC.
Active
Other names
Mildred''s Family Care,Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL LAVALLE BLACKWELL JR. (PRESIDENT)
(336) 421-0646
Entity
Organization
Contact information
Practice address
3592 MARSHALL GRAVES RD, YANCEYVILLE, NC 27379-8630
(336) 213-2132
(336) 421-5666
Mailing address
3592 MARSHALL GRAVES RD, YANCEYVILLE, NC 27379-8630
(336) 421-0646
(336) 421-5666
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-017-006
NC
Other
Enumeration date
12/21/2011
Last updated
11/17/2023
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