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Organization
TAMELA BLACKWELL
Active
Organization
TAMELA BLACKWELL
Active
Other names
Dogwood Forest Family Care Home Two
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMELA BLACKWELL (OWNER)
(336) 421-8880
Entity
Organization
Contact information
Practice address
3592 MARSHALL GRAVES RD, YANCEYVILLE, NC 27379-8630
(336) 421-8880
Mailing address
203 N MAIN ST, SUITE 315, ROXBORO, NC 27573-5343
(336) 421-8880
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL017006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803662
—
NC
Enumeration date
03/29/2007
Last updated
08/22/2020
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