# BLACKNALL FELTON GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841623873
- **Authorized official:** PATRICIA W GREENE (ADMINISTRATOR)
- **Authorized official phone:** (252) 348-8840

## Contact information

- **Practice address:** 222 CONNARISTA RD, KELFORD, NC 27847-9602
- **Practice address phone:** (252) 348-8840
- **Practice address fax:** (252) 348-8840
- **Mailing address:** 222 CONNARISTA RD, KELFORD, NC 27847-9602
- **Mailing address phone:** (252) 348-8840
- **Mailing address fax:** (252) 348-8840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 008038 | NC | Yes |

## Other

- **Enumeration date:** 08/13/2013
- **Last updated:** 10/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008038 | — | NC |