# OAKWOOD FAMILY CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Melvin L. Blackwell
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669503645
- **Authorized official:** MRS. EDITH BLACKWELL (ADMINISTRATOR)
- **Authorized official phone:** (336) 342-2960

## Contact information

- **Practice address:** 511 NC HIGHWAY 87, REIDSVILLE, NC 27320-9725
- **Practice address phone:** (336) 342-2960
- **Mailing address:** PO BOX 202, REIDSVILLE, NC 27323-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-079-019 | NC | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | FCL-079-019 | NC | — |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 07/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7801145 | — | NC |